| Cornerstone Community Counseling Corp | |
|
609 W 3rd St Imboden AR 72434-9099 | |
| (870) 869-1500 | |
| (870) 869-1505 |
| Full Name | Cornerstone Community Counseling Corp |
|---|---|
| Speciality | Psychologist |
| Location | 609 W 3rd St, Imboden, Arkansas |
| Authorized Official Name and Position | Brenda Marie Ray (CEO) |
| Authorized Official Contact | 8708691500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Community Counseling Corp 609 W 3rd St Imboden AR 72434-9099 Ph: (870) 869-1500 | Cornerstone Community Counseling Corp 609 W 3rd St Imboden AR 72434-9099 Ph: (870) 869-1500 |
| NPI Number | 1346463353 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346463353 | NPI | - | NPPES |
| 164272526 | Medicaid | AR | |
| 172732526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Dayspring Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 W 3rd St, Imboden, AR 72434 Phone: 870-869-2385 Fax: 870-869-2685 |