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NPI Code Detail

MEDICARE: CORNERSTONE COUNSELING INC

MEDICARE: CORNERSTONE COUNSELING INC
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)0001355GA

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 : 1730348590
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE COUNSELING INC
Provider Business Mailing Address
First Line : 3383 POWDER SPRINGS RD
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-2321
Country : US
Telephone Number : 770-222-1980
Fax Number : 770-222-1981
Provider Business Practice Location Address
First Line : 3383 POWDER SPRINGS RD
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127
Country : US
Telephone Number : 770-222-1980
Fax Number : 770-222-1981
Authorized Official
Title or Position : CEO
Name : DR. WILLIAM A. BAUGHMAN
Credential : PHD
Telephone Number : 770-222-1980
Provider Enumeration Date : 06/06/2008
Last Update Date : 06/06/2008

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Directions to “CORNERSTONE COUNSELING INC ” Practice Location

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