Healthcare Provider Details

I. General information

NPI: 1306059894
Provider Name (Legal Business Name): CORNERSTONE BEHAVIORAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 E BROADWAY ST SUITE 300
NEWTON KS
67114-2212
US

IV. Provider business mailing address

129 E BROADWAY ST SUITE 300
NEWTON KS
67114-2212
US

V. Phone/Fax

Practice location:
  • Phone: 316-217-1892
  • Fax:
Mailing address:
  • Phone: 316-217-1892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCADC1
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCPC 320
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC 320
License Number StateKS

VIII. Authorized Official

Name: BRIAN S MILLS
Title or Position: OFFICER - PRESIDENT
Credential: PH.D., LCPC
Phone: 316-217-1892