Cornerstone of Change, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CORNERSTONE OF CHANGE, LLC

Practice address

2250 NW 136 Ave
Pembroke Pines, FL 33028-2586

Phone

(954) 247-4157

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Tracy Oliver, LMFT

Title

Manager

Phone

(954) 247-4157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1053819094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 S FLAMINGO RD # 513",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303237",
            "telephone_number": "954-247-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW 136 AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282586",
            "telephone_number": "954-247-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE OF CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-247-4157",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corehealth Pharmacy Inc
• Corinthians Primary Care and Wellness LLC
• Elisabeth Anne-Marie Coriolan
• Stephanie Marie-Louise Coriolan, MD
• Deborah Jill Corliss, DMD
• Altagracita Cornet, NURSE PRACTITIONER
• Carmen Rosa Cornide, PSY. D.
• Dianelis Corral Lobaina
• Maysel Correa Bickham, P.A
• Anelys Correa, D.M.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.