MEDICARE: CORNERSTONE COUNSELING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1598940470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE COUNSELING CENTER

Provider Business Mailing Address
First Line	:	4037 PARCHMAN ST
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8801
Country	:	US
Telephone Number	:	817-595-2520
Fax Number	:	817-284-8742

Provider Business Practice Location Address
First Line	:	4037 PARCHMAN ST
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8801
Country	:	US
Telephone Number	:	817-595-2520
Fax Number	:	817-284-8742

Authorized Official
Title or Position	:	OFFICE MGR.
Name	:	MRS. ROMELL HARDIN
Credential	:
Telephone Number	:	817-595-2520

Provider Enumeration Date	:	01/09/2008
Last Update Date	:	01/09/2008

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Directions to “CORNERSTONE COUNSELING CENTER ” Practice Location

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