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NPI Code Detail

MEDICARE: CORNERSTONE FAMILY COUNSELING, LLC

MEDICARE: CORNERSTONE FAMILY COUNSELING, 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
11041C0700XClinical Social Worker149013761IL

General Provider Information

NPI Number : 1902156433
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE FAMILY COUNSELING, LLC
Provider Business Mailing Address
First Line : 3600 S WATER TOWER PL
Second Line :
City : MOUNT VERNON
State : IL
Zip : 62864-6589
Country : US
Telephone Number : 618-244-0212
Fax Number : 618-244-0535
Provider Business Practice Location Address
First Line : 3600 S WATER TOWER PL
Second Line :
City : MOUNT VERNON
State : IL
Zip : 62864-6589
Country : US
Telephone Number : 618-244-0212
Fax Number : 618-244-0535
Authorized Official
Title or Position : OWNER
Name : MRS. LINDSEY M ADAMS GREENWALT
Credential : MSW, LCSW
Telephone Number : 618-244-0212
Provider Enumeration Date : 09/12/2012
Last Update Date : 10/27/2025

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Directions to “CORNERSTONE FAMILY COUNSELING, LLC ” Practice Location

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