Healthcare Provider Details

I. General information

NPI: 1982999017
Provider Name (Legal Business Name): CORNERSTONE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 06/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 ALLEN ST
OWENSBORO KY
42303-3437
US

IV. Provider business mailing address

2308 REIGH COUNT DR
OWENSBORO KY
42301-4985
US

V. Phone/Fax

Practice location:
  • Phone: 270-685-0110
  • Fax: 270-683-4105
Mailing address:
  • Phone: 270-685-0110
  • Fax: 270-683-4105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0427
License Number StateKY

VIII. Authorized Official

Name: MR. JOE BOB PIERCE JR.
Title or Position: OWNER
Credential: LMFT
Phone: 270-685-0110