Provider Demographics
NPI:1306059894
Name:CORNERSTONE BEHAVIORAL HEALTH INC
Entity type:Organization
Organization Name:CORNERSTONE BEHAVIORAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER - PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCPC
Authorized Official - Phone:316-217-1892
Mailing Address - Street 1:129 E BROADWAY ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-2212
Mailing Address - Country:US
Mailing Address - Phone:316-217-1892
Mailing Address - Fax:
Practice Address - Street 1:129 E BROADWAY ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-2212
Practice Address - Country:US
Practice Address - Phone:316-217-1892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSCADC1101YA0400X
KSLCPC 320101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty