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General NPI Number Information
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NPI Number | 1669944856
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Entity Type | Organization
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Legal Business Name | CORNERSTONE COUNSELING AND WELLNESS PLLC
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 6604 SIX FORKS RD STE 101
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City | RALEIGH
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State | NC
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Zip | 27615-6521
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Country | US
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Telephone | 984-235-2545
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Fax | 844-253-4789
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Provider Business Mailing Address
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Address Line | 6604 SIX FORKS RD STE 101
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City | RALEIGH
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State | NC
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Zip | 27615-6521
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Country | US
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Telephone | 984-235-2545
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Fax | 844-253-4789
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | JOY C TANNER
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Credential | MA, LCMHCS
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Telephone | 919-523-9716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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