Healthcare Provider Details

I. General information

NPI: 1205486578
Provider Name (Legal Business Name): CORNERSTONE CENTER FOR COUNSELING AND DISCIPLESHIP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S MILL ST
TEHACHAPI CA
93561-2026
US

IV. Provider business mailing address

1121 WEST VALLEY BLVD SUIT I #225
TEHACHAPI CA
93561
US

V. Phone/Fax

Practice location:
  • Phone: 661-750-0438
  • Fax:
Mailing address:
  • Phone: 870-335-6993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA R PIERCE
Title or Position: PRESIDENT
Credential:
Phone: 870-335-6993