| Cornerstone Family Therapy Llc | |
|
2995 N Cole Rd Ste 225 Boise ID 83704-5966 | |
| (208) 614-0588 | |
| (208) 203-7432 |
| Full Name | Cornerstone Family Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 2995 N Cole Rd Ste 225, Boise, Idaho |
| Authorized Official Name and Position | Rebecca Lindsey Gonzales (OWNER, CLINICIAN) |
| Authorized Official Contact | 2085710711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Therapy Llc Po Box 190213 Boise ID 83719-0213 Ph: (208) 614-0588 | Cornerstone Family Therapy Llc 2995 N Cole Rd Ste 225 Boise ID 83704-5966 Ph: (208) 614-0588 |
| NPI Number | 1255052965 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 9133561525 |
|---|---|
| Medicare Enrollment ID | O20240530003455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255052965 | NPI | - | NPPES |
| Provider Name | Rebecca Lindsey Gonzales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518457332 PECOS PAC ID: 0042652430 Enrollment ID: I20240530003559 |
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