Provider Demographics
NPI:1174048995
Name:CORNERSTONE COUNSELING AND CONSULTATION SERVICES
Entity type:Organization
Organization Name:CORNERSTONE COUNSELING AND CONSULTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:KOLBE
Authorized Official - Suffix:
Authorized Official - Credentials:LLP, LPC
Authorized Official - Phone:231-893-8336
Mailing Address - Street 1:516 E COLBY ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461-1113
Mailing Address - Country:US
Mailing Address - Phone:231-893-8336
Mailing Address - Fax:231-981-5277
Practice Address - Street 1:516 E COLBY ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:MI
Practice Address - Zip Code:49461-1113
Practice Address - Country:US
Practice Address - Phone:231-893-8336
Practice Address - Fax:231-981-5277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009527101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty