Provider Demographics
NPI:1124703202
Name:CORNERSTONE OF HOPE & HEALING COUNSELING PLLC
Entity type:Organization
Organization Name:CORNERSTONE OF HOPE & HEALING COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER/OWNER/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLI
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NCC, LCMHC
Authorized Official - Phone:704-240-6068
Mailing Address - Street 1:506 TONEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-3649
Mailing Address - Country:US
Mailing Address - Phone:704-240-6068
Mailing Address - Fax:
Practice Address - Street 1:115 E HARDEN ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-3001
Practice Address - Country:US
Practice Address - Phone:336-515-0240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty