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Cornerstone Clinical Services

Organization Active NPI Counselor · Lawton, OK

NPI 1629469754 · NPPES record last updated Feb 17, 2015

Key facts

NPI
1629469754
Entity type
Organization (NPI type 2)
Primary specialty
Counselor 101Y00000X
Legal business name
CORNERSTONE CLINICAL SERVICES
Practice address
807 SW F Ave
Lawton, OK 73501-4506
Phone
(580) 595-7000
NPI assigned
Feb 11, 2015
Organization subpart
No

Authorized official

Name
Mrs. Gloria Ann Weary
Title
Admin
Phone
(580) 583-3320

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cornerstone Clinical Services (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193400000X SINGLE SPECIALTY GROUP		 101Y00000X Yes

Addresses

Primary practice location

807 SW F Ave
Lawton, OK 73501-4506

Mailing address

807 SW F Ave
Lawton, OK 73501-4506
Phone (580) 595-7000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 17, 2015.

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1629469754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014506",
            "telephone_number": "580-595-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014506",
            "telephone_number": "580-595-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "WEARY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "580-583-3320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

All providers in Lawton, OK · Counselor in Oklahoma

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