Healthcare Provider Details

I. General information

NPI: 1669944856
Provider Name (Legal Business Name): CORNERSTONE COUNSELING AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2018
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6604 SIX FORKS RD STE 101
RALEIGH NC
27615-6521
US

IV. Provider business mailing address

6604 SIX FORKS RD STE 101
RALEIGH NC
27615-6521
US

V. Phone/Fax

Practice location:
  • Phone: 984-235-2545
  • Fax: 844-253-4789
Mailing address:
  • Phone: 984-235-2545
  • Fax: 844-253-4789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: JOY C TANNER
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: MA, LCMHCS
Phone: 919-523-9716