| Cornerstone Family Counseling, Llc | |
|
3600 S Water Tower Pl Mount Vernon IL 62864-6589 | |
| (618) 244-0212 | |
| (618) 244-0535 |
| Full Name | Cornerstone Family Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3600 S Water Tower Pl, Mount Vernon, Illinois |
| Authorized Official Name and Position | Lindsey M Adams Greenwalt (OWNER) |
| Authorized Official Contact | 6182440212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Counseling, Llc 3600 S Water Tower Pl Mount Vernon IL 62864-6589 Ph: (618) 244-0212 | Cornerstone Family Counseling, Llc 3600 S Water Tower Pl Mount Vernon IL 62864-6589 Ph: (618) 244-0212 |
| NPI Number | 1902156433 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 5496900540 |
|---|---|
| Medicare Enrollment ID | O20130221000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902156433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149013761 (Illinois) | Primary |
| Provider Name | Lindsey Marie Adams Greenwalt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164753281 PECOS PAC ID: 6305091455 Enrollment ID: I20130221000464 |
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