| Cornerstone Counseling, Llc | |
|
600 N Thacker Ave Kissimmee FL 34741-4892 | |
| (321) 732-2315 | |
| Not Available |
| Full Name | Cornerstone Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 600 N Thacker Ave, Kissimmee, Florida |
| Authorized Official Name and Position | Grimarie Fernandez (MANAGER) |
| Authorized Official Contact | 4072559504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling, Llc 600 N Thacker Ave Ste D31 Kissimmee FL 34741-4808 Ph: (321) 732-2315 | Cornerstone Counseling, Llc 600 N Thacker Ave Kissimmee FL 34741-4892 Ph: (321) 732-2315 |
| NPI Number | 1588312557 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Medicare PECOS PAC ID | 1254774581 |
|---|---|
| Medicare Enrollment ID | O20240202003996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588312557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Grimarie Fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316495815 PECOS PAC ID: 8527401850 Enrollment ID: I20240202003984 |
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