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NPI Code Detail

MEDICARE: CORNERSTONE OF HOPE COUNSELING LLC

MEDICARE: CORNERSTONE OF HOPE COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043833999
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE OF HOPE COUNSELING LLC
Provider Business Mailing Address
First Line : 1131 W CONWAY RD STE B
Second Line :
City : HARBOR SPRINGS
State : MI
Zip : 49740-9684
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1131 W CONWAY RD STE B
Second Line :
City : HARBOR SPRINGS
State : MI
Zip : 49740-9684
Country : US
Telephone Number : 231-884-2447
Fax Number :
Authorized Official
Title or Position : OWNER/ PROVIDER
Name : RACHELLE RIFE
Credential : LPC
Telephone Number : 231-884-2447
Provider Enumeration Date : 05/27/2020
Last Update Date : 05/27/2020

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Directions to “CORNERSTONE OF HOPE COUNSELING LLC ” Practice Location

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