Healthcare Provider Details

I. General information

NPI: 1720103096
Provider Name (Legal Business Name): CORNERSTONECONSULTING AND ASSESSMENTS,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 EDEN WAY N STE E
CHESAPEAKE VA
23320-2798
US

IV. Provider business mailing address

732 EDEN WAY N STE E
CHESAPEAKE VA
23320-2798
US

V. Phone/Fax

Practice location:
  • Phone: 877-375-2220
  • Fax: 757-523-1360
Mailing address:
  • Phone: 877-375-2220
  • Fax: 757-523-1360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSALEE L YOUNG
Title or Position: PRESIDENT
Credential:
Phone: 757-592-5545