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Organization

CORNERSTONE COUNSELING SERVICES, INC

Active
Other names
LifeStance Health
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN PARDO (CHIEF LEGAL OFFICER)
(425) 279-8500
Entity
Organization

Contact information

Practice address
16535 W BLUEMOUND RD, SUITE 200, BROOKFIELD, WI 53005-5936
(262) 789-1191
(262) 821-6180
Mailing address
16535 W BLUEMOUND RD, SUITE 200, BROOKFIELD, WI 53005-5936
(262) 789-1191
(262) 821-6180

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1237
WI
101YM0800X
Mental Health Counselor
Primary
1237
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42170300
WI
Enumeration date
08/03/2006
Last updated
08/18/2025
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