Cornerstone Adventurous Blessings

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CORNERSTONE ADVENTUROUS BLESSINGS

Practice address

111 S Linden St
Pine Bluff, AR 71601-3948

Phone

(870) 281-8962

NPI assigned

Jun 20, 2026

Last updated

Jun 20, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Willie D Tarressa Jackson

Title

Owner

Phone

(870) 281-8962

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781913600000",
    "number": "1043146822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W 5TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716013916",
            "telephone_number": "870-281-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S LINDEN ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716013948",
            "telephone_number": "870-281-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE ADVENTUROUS BLESSINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "WILLIE D",
        "authorized_official_middle_name": "TARRESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-281-8962"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Mental Illness Community Based Residential Treatment Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.