| Cornerstone Counseling Service, L.l.c. | |
|
612 E Jackson St Hugo OK 74743 | |
| (580) 326-2200 | |
| (580) 326-2201 |
| Full Name | Cornerstone Counseling Service, L.l.c. |
|---|---|
| Speciality | Counselor |
| Location | 612 E Jackson St, Hugo, Oklahoma |
| Authorized Official Name and Position | Steven E Foster (OWNER) |
| Authorized Official Contact | 5803262200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling Service, L.l.c. Po Box 61 Hugo OK 74743-0061 Ph: (580) 326-2200 | Cornerstone Counseling Service, L.l.c. 612 E Jackson St Hugo OK 74743 Ph: (580) 326-2200 |
| NPI Number | 1922353119 |
|---|---|
| Provider Enumeration Date | 07/13/2012 |
| Last Update Date | 06/14/2018 |
| Medicare PECOS PAC ID | 5890042634 |
|---|---|
| Medicare Enrollment ID | O20180724003964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922353119 | NPI | - | NPPES |
| 200452460A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Stuart Schuhmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427354265 PECOS PAC ID: 5799032538 Enrollment ID: I20180724004025 |
| Provider Name | Jordan Clipson Dobbs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235823501 PECOS PAC ID: 9133577711 Enrollment ID: I20231120002101 |
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