Cornerstone Mental Health Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CORNERSTONE MENTAL HEALTH CENTER LLC

Practice address

11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456

Phone

(612) 227-4763

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Olabisi FaforeNPI 1841017944

Title

Owner

Phone

(612) 227-4763

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olabisi Fashuyi Fafore

  • Psychiatric/Mental Health Nurse Practitioner
  • Johns Creek, GA
  • NPI 1841017944
  NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1467266106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 LANIER SPRINGS DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305187272",
            "telephone_number": "612-227-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 LAKEFIELD DR STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972456",
            "telephone_number": "612-227-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "FAFORE",
        "authorized_official_first_name": "OLABISI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-227-4763"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Irene Contin, PSY.D.
• Whitney Virginia Cook, M.D.
• Jere N Cooper, PMHNP-BC
• Nailah Asha Copeland
• Matthew Tucker Coppage, DPT
• Christopher Russel Corwin, DPM
• Victor Alan Couch, RNFA
• M. Eugenia Couchoud-Wilkinson, M.S., R.D.N, L.D.
• Brigitte Council, PA
• Creekside Oral Surgery Inc

• Psychiatric/Mental Health Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.