MEDICARE: CORNERSTONE CLINICAL SERVICES, INC.

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	251S00000X	Community/Behavioral Health Agency		TX

General Provider Information

NPI Number	:	1659623130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE CLINICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	1408 W ELDER AVE
Second Line	:
City	:	DUNCAN
State	:	OK
Zip	:	73533-4022
Country	:	US
Telephone Number	:	580-470-8898
Fax Number	:	888-411-3004

Provider Business Practice Location Address
First Line	:	308 BELCHER ST
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-3630
Country	:	US
Telephone Number	:	580-445-5494
Fax Number	:	888-411-3004

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. DARRELL EUGENE SMITH
Credential	:	M.ED
Telephone Number	:	580-470-8898

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	10/09/2012

Similar Medicare Providers

1033064977 — ZNIAH FREEMAN-BENTON
Practice Location Address:

17310 LIPTON AVE
CLEVELAND, OH
44128-3630

Practice Phone: 216-482-4998
Practice Fax:

1154530434 — DR. CHERYL L. MORROW-WHITE M.D.
Practice Location Address:

1084 BRANDON RD
CLEVELAND HEIGHTS, OH
44112-3630

Practice Phone: 216-403-3312
Practice Fax:

1326452574 — SHARIAN LOUISE JACKSON
Practice Location Address:

3630 E 65TH ST APT 1
CLEVELAND, OH
44105-7740

Practice Phone: 216-379-4829
Practice Fax:

1699533364 — MIKESHA MONEA WILSON
Practice Location Address:

1104 BRANDON RD
CLEVELAND HEIGHTS, OH
44112-3630

Practice Phone: 216-904-9958
Practice Fax:

1023905510 — DIANE BROWN
Practice Location Address:

14011 CASTALIA AVE
CLEVELAND, OH
44110-3630

Practice Phone: 334-603-4506
Practice Fax:

1235131319 — NABIL M AHMAD MD
Practice Location Address:

1105 N WASHINGTON AVE
CLEVELAND, TX
77327-3732

Practice Phone: 281-593-2899
Practice Fax: 281-592-0479

Directions to “CORNERSTONE CLINICAL SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.