Provider Demographics
NPI:1366147571
Name:CORNERSTONE FAMILY CONNECTIONS, INC.
Entity type:Organization
Organization Name:CORNERSTONE FAMILY CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:KORMANIK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-418-2003
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-0190
Mailing Address - Country:US
Mailing Address - Phone:412-418-2003
Mailing Address - Fax:
Practice Address - Street 1:12 EASTERN AVE STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3038
Practice Address - Country:US
Practice Address - Phone:412-418-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty