Cornerstone Wellness Center Llc

LBN: Cornerstone Wellness Center Llc
Cornerstone Wellness Center Llc is an health care organization with primary practice located at 1523 S Bluff Blvd , Clinton IA 52732-6549. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Cornerstone Wellness Center Llc can be contacted via phone (563) 243-6054, or through Millard, Thomas Lee via phone (563) 243-6054.

Contact Information

Primary practice address
1523 S Bluff Blvd Clinton IA 52732-6549
Phone: (563) 243-6054
Fax: (563) 243-6828
Website:
Map and Directions
Authorized official contact:
Name: Millard, Thomas Lee P.H.D
Phone: (563) 243-6054

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1730292996
LBN Legal business name Cornerstone Wellness Center Llc
DBA Doing business as
Authorized official Millard, Thomas Lee P.H.D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 20th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730292996 NPPES
Iowa Other 23379 BLUE CROSS BLUE SHIELD

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