Healthcare Provider Details

I. General information

NPI: 1205762390
Provider Name (Legal Business Name): CORNERSTONE COUNSELING AND BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 W CHARLESTON BLVD STE 120
LAS VEGAS NV
89146-1067
US

IV. Provider business mailing address

4021 DALE EVANS DR
LAS VEGAS NV
89108-5519
US

V. Phone/Fax

Practice location:
  • Phone: 702-713-4206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY COLLINS
Title or Position: OWNER
Credential:
Phone: 702-713-4206