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Organization
CORNERSTONE HEALTH & WELLNESS CLINIC OF TENNESSEE
Active
Organization
CORNERSTONE HEALTH & WELLNESS CLINIC OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA LUCAS LMSW (CEO/OWNER)
(901) 406-6705
Entity
Organization
Contact information
Practice address
10634 THREE WISHES DR, OLIVE BRANCH, MS 38654-8753
(901) 406-6705
Mailing address
10634 THREE WISHES DR, OLIVE BRANCH, MS 38654-8753
(901) 406-6705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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