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General NPI Number Information
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NPI Number | 1699308080
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Entity Type | Organization
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Legal Business Name | CORNERSTONE CARE MANAGEMENT, LLC
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 6702 KEATON CORPORATE PKWY STE 103
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City | O FALLON
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State | MO
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Zip | 63368-8630
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Country | US
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Telephone | 314-283-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 6702 KEATON CORPORATE PKWY STE 103
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City | O FALLON
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State | MO
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Zip | 63368-8630
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Country | US
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Telephone | 314-283-5599
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN M WORZEL
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Credential | LCSW
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Telephone | 314-283-5599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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