| Cornerstone Family Therapy Llc | |
|
1415 Lincolnway W Suite T Osceola IN 46561-2062 | |
| (574) 651-8912 | |
| (574) 281-4412 |
| Full Name | Cornerstone Family Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1415 Lincolnway W, Osceola, Indiana |
| Authorized Official Name and Position | Betty Mae Guzman (THERAPIST) |
| Authorized Official Contact | 5743102410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Therapy Llc 1415 Lincolnway W Suite T Osceola IN 46561-2062 Ph: (574) 651-8912 | Cornerstone Family Therapy Llc 1415 Lincolnway W Suite T Osceola IN 46561-2062 Ph: (574) 651-8912 |
| NPI Number | 1346791688 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 01/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346791688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39002932A (Indiana) | Secondary |
| 251S00000X | Community/behavioral Health | 39002932A (Indiana) | Primary |
Cornerstone Family Therapy Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Lincolnway W Ste Q, Osceola, IN 46561 Phone: 574-651-8912 Fax: 574-281-4412 |