Organization Name: | CORNERSTONE FAMILY COUNSELING, LLC |
NPI Number: | 1902156433 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDSEY M ADAMS (OWNER) |
Mailing Address: | 4114 N. Water Tower Place Suite C Mt. Vernon |
State: | IL US |
Postal Code: | 628646548 |
Phone Number: | 6182440212 |
Fax Number: | 6182440535 |
NPI Enumeration Date: | 09/12/2012 |
NPI Last Update Date: | 09/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149013761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |