| Cornerstone Counseling Center | |
|
439 1st Ave Nw Hickory NC 28601-6124 | |
| (828) 322-4941 | |
| (828) 322-4931 |
| Full Name | Cornerstone Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 439 1st Ave Nw, Hickory, North Carolina |
| Authorized Official Name and Position | Bessie Richey (OFFICE MANAGER) |
| Authorized Official Contact | 8283224941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling Center 439 1st Ave Nw Hickory NC 28601-6124 Ph: (828) 322-4941 | Cornerstone Counseling Center 439 1st Ave Nw Hickory NC 28601-6124 Ph: (828) 322-4941 |
| NPI Number | 1740371491 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 03/21/2018 |
| Medicare PECOS PAC ID | 7719071141 |
|---|---|
| Medicare Enrollment ID | O20070917000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740371491 | NPI | - | NPPES |
| 6005714 | Medicaid | NC | |
| 0116L | Other | NC | BLUE CROSS BLUE SHIELD NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tammy Jo Mumford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538261409 PECOS PAC ID: 2769437839 Enrollment ID: I20050322000495 |
| Provider Name | Debra D Rhodus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255350906 PECOS PAC ID: 2860836632 Enrollment ID: I20240220003171 |
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