Healthcare Provider Details

I. General information

NPI: 1922502608
Provider Name (Legal Business Name): CORNERSTONE COUNSELING CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 05/02/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4695 HARDINSBURG RD
CECILIA KY
42724-9787
US

IV. Provider business mailing address

4695 HARDINSBURG RD
CECILIA KY
42724-9787
US

V. Phone/Fax

Practice location:
  • Phone: 270-862-4825
  • Fax:
Mailing address:
  • Phone: 270-205-4499
  • Fax: 270-282-7153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA ANN SCOTT
Title or Position: OWNER
Credential: LMFT
Phone: 270-734-1220