Provider Demographics
NPI:1154759595
Name:CORNERSTONE COUNSELING SERVICES
Entity type:Organization
Organization Name:CORNERSTONE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:FAUST
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:712-350-1027
Mailing Address - Street 1:700 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TABOR
Mailing Address - State:IA
Mailing Address - Zip Code:51653
Mailing Address - Country:US
Mailing Address - Phone:712-350-1027
Mailing Address - Fax:
Practice Address - Street 1:702 MAIN ST
Practice Address - Street 2:
Practice Address - City:TABOR
Practice Address - State:IA
Practice Address - Zip Code:51653-2067
Practice Address - Country:US
Practice Address - Phone:712-350-1027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00466101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty