NPI 1346463353 · live from the CMS NPI Registry
Cornerstone Community Counseling Corp
Psychologist in Imboden, AR. National Provider Identifier 1346463353, active.
NPI record
| NPI | 1346463353 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 609 W 3rd St, Imboden, AR 72434 |
| Practice phone | 870-869-1500 |
| Enumerated | April 10, 2007 |
| Last updated | March 27, 2012 |
| Authorized official | Brenda Ray, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health | 251S00000X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.