| Cornerstone Counseling And Consulting Services, Llc | |
|
1900 Fairgrove Ave Hamilton OH 45011-1966 | |
| (513) 889-5880 | |
| (513) 755-1967 |
| Full Name | Cornerstone Counseling And Consulting Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1900 Fairgrove Ave, Hamilton, Ohio |
| Authorized Official Name and Position | John Alexander Guliano (OWNER) |
| Authorized Official Contact | 5138895880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling And Consulting Services, Llc 1900 Fairgrove Ave Hamilton OH 45011-1966 Ph: (513) 889-5880 | Cornerstone Counseling And Consulting Services, Llc 1900 Fairgrove Ave Hamilton OH 45011-1966 Ph: (513) 889-5880 |
| NPI Number | 1467894741 |
|---|---|
| Provider Enumeration Date | 07/26/2013 |
| Last Update Date | 04/22/2019 |
| Medicare PECOS PAC ID | 9133356975 |
|---|---|
| Medicare Enrollment ID | O20131226000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467894741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | E0500402 (Ohio) | Primary |
| Provider Name | Iris Ann Pfeffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801033667 PECOS PAC ID: 9234369349 Enrollment ID: I20140310001970 |
| Provider Name | Lindsay R Bergman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710197173 PECOS PAC ID: 5496075376 Enrollment ID: I20150515001254 |
| Provider Name | Jamie Sexton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417384256 PECOS PAC ID: 7911271408 Enrollment ID: I20171004003566 |
| Provider Name | Kelly Marie Heitkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336611524 PECOS PAC ID: 4183955321 Enrollment ID: I20191018002037 |
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