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General NPI Number Information
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NPI Number | 1992682603
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Entity Type | Organization
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Legal Business Name | CORNERSTONE COUNSELING & WELLNESS LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 12248 N 1790 RD
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City | ERICK
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State | OK
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Zip | 73645-5537
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Country | US
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Telephone | 580-729-0422
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Fax | 580-207-7167
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Provider Business Mailing Address
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Address Line | 3000 W MEMORIAL RD STE 123-457
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-6101
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Country | US
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Telephone | 580-729-0422
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Fax |
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Authorized Official
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Title or Position | REPRESENTATIVE
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Name | LAUNA KAY MCMANUS
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Credential |
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Telephone | 580-821-0059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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