Cornerstone Wellness Group, LLC
Organization Active NPI Mental Health Counselor · Cleveland, TX
NPI 1407266604 · NPPES record last updated Apr 28, 2014
Key facts
- NPI
- 1407266604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 12361 (TX)
- Legal business name
- CORNERSTONE WELLNESS GROUP, LLC
- Practice address
- 405 E. Crockett St.
Cleveland, TX 77327-9998 - Phone
- (281) 593-1888
- Fax
- (281) 593-1890
- NPI assigned
- Apr 28, 2014
- Organization subpart
- No
Authorized official
- Name
- Lois Marie Liddle, LPC-S
- Title
- Licensed Proffesional Counselor
- Phone
- (281) 593-1888
National Provider Directory
Locations
405 E Crockett St
Cleveland, TX 77327
Phone (281) 593-1888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 12361 | TX | Yes |
Addresses
Primary practice location
405 E. Crockett St.
Cleveland, TX 77327-9998
Mailing address
405 E. Crockett St.
Cleveland, TX 77327-9998
Phone (281) 593-1888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255688297 | Medicaid | TX |
Other providers in Cleveland, TX
- Jerry Frank Colapret
- Dona Nicole Coleman
- Contemporary Family Medicine Trust
- Contemporary Family Medicine Trust
- Cornerstone Clinical Services, Inc.
- Angela Corral Bago
- Daryl Crosby
- D&S Residential Services, LP
- D&S Residential Services, LP
- Ruqaiyah Darugar
All providers in Cleveland, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.