Cornerstone Counseling and Wellness Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CORNERSTONE COUNSELING AND WELLNESS CENTER, LLC

Practice address

4286 Woodbine Rd Ste a
Pace, FL 32571-8770

Phone

(850) 259-9501

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Howland Ellis, L.C.S.W.

Title

Authorized Representative

Phone

(850) 259-9501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1356829386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 ANNIE RUTH ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708153",
            "telephone_number": "850-259-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286 WOODBINE RD STE A",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718770",
            "telephone_number": "850-259-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "HOWLAND",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "850-259-9501",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry L Conner
• Courtney Longuet Cook, LCSW
• Tiffany Cook, ARNP
• Tiffany Alese Cooper, PHARMD
• Lori Noelle Corley, OTR/L
• Shelby Lynn Groner Cotner, M.S. SLP
• Tiffany Michelle Cottrell
• Rhonda R Cowan, DNP,A-GNP-C,PHCNS-BC
• Amy Cox, ARNP
• CRC Health Treatment Clinics, LLC

• Mental Health Counselor in Pace, FL
• Providers in Pace, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.