Cornerstone Healing Center, LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Scottsdale, AZ
NPI 1154823680 · NPPES record last updated Sep 20, 2021
Key facts
- NPI
- 1154823680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- CORNERSTONE HEALING CENTER, LLC
- Practice address
- 16444 N 91St St
Scottsdale, AZ 85260-1567 - Phone
- (800) 480-1781
- Fax
- (480) 590-7303
- NPI assigned
- Feb 28, 2018
- Organization subpart
- No
Authorized official
- Name
- Estil Wallace
- Title
- Ceo
- Phone
- (800) 480-1781
Subparts reporting this organization as parent 3
Practitioners 25
-
Dorothy Alberti, PMHNP-BC
-
Nathaniel Bush, LCSW
-
Rupinder K Dhillon, PA-C
-
Christine Kay Heise, MSPAS
-
Craig William Heise Jr., M.D.
-
Kaitlin Spivey, FNP-C
-
Fayz Yar Khan, M.D.
-
Jillian Young, PMHNP
-
Lea Rae Grosvenor, LCDC III
-
Zachary Paul Boberg, LAC THERAPIST
-
Shannon Crawford-West, PMHNP-BC
-
Eboni Joi Fields, LPC
-
Evan Hughes Sr., LISAC
-
Tricia Jacobson-Rudd, LASAC
-
Lorraine Mischke, LASAC
-
Nicole Rogers, LAC
-
Adrian Anita Russell, LASAC
-
Cassandra Elaina Sankey, OTD, OTR/L
-
Michael Andrew Swett, LMSW
-
Barbarann Thompson Paull, PA-C
-
Sharon Tipton, LIAC-S
-
Karen Lee Williams, LPC
-
Rebecca Lauren Salsman Knowles, OTD, OTR/L
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2142384 | Cornerstone Healing Center, LLC | Certificate of waiver | Jan 9, 2028 |
National Provider Directory
Locations
4344 W Indian School Rd
Ste 22
Phoenix, AZ 85031
Phone (800) 480-1781
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
16444 N 91St St
Scottsdale, AZ 85260-1567
Mailing address
16444 N 91St St
Scottsdale, AZ 85260-1567
Phone (800) 480-1781
Other names
- Cornerstone Healing Center
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All providers in Scottsdale, AZ · Substance Use Disorder Rehabilitation Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.