MEDICARE: CORNERSTONE CARE SOLUTIONS LLC

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
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871430611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE CARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2801 BUFORD HWY NE STE 501
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30329-2137
Country	:	US
Telephone Number	:	404-832-0604
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 BUFORD HWY NE STE 501
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30329-2137
Country	:	US
Telephone Number	:	404-832-0604
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MIKAELA NICOLE HEARD
Credential	:	LPC
Telephone Number	:	404-832-0604

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	05/30/2026

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