| Cornerstone Counseling Center, Pllc | |
|
18510 Mn-371 Suite D Brainerd MN 56401 | |
| (218) 838-4209 | |
| Not Available |
| Full Name | Cornerstone Counseling Center, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18510 Mn-371, Brainerd, Minnesota |
| Authorized Official Name and Position | Nicholas Gammello (OWNER) |
| Authorized Official Contact | 2188384209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling Center, Pllc 11636 Fairway Rd East Gull Lake MN 56401-2099 Ph: (218) 838-4209 | Cornerstone Counseling Center, Pllc 18510 Mn-371 Suite D Brainerd MN 56401 Ph: (218) 838-4209 |
| NPI Number | 1386461077 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 8325576564 |
|---|---|
| Medicare Enrollment ID | O20250115002188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386461077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicholas Gammello |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1558383000 PECOS PAC ID: 5890107056 Enrollment ID: I20250115002223 |
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