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General NPI Number Information
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NPI Number | 1699964148
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Entity Type | Organization
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Legal Business Name | CORNERSTONE BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 3100 KILPATRICK BLVD STE 102
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City | MONROE
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State | LA
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Zip | 71201-5156
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Country | US
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Telephone | 318-325-8048
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Fax | 318-325-5385
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Provider Business Mailing Address
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Address Line | 1705 WASHINGTON ST
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City | MONROE
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State | LA
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Zip | 71201-7046
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Country | US
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Telephone | 318-325-8048
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Fax | 318-325-5385
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ADRIAN WILLIAMS
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Credential | LCSW
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Telephone | 318-325-8048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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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