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
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up