Organization
CORNERSTONE PSYCHOLOGICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L HOLT MA, LPC, LPA (DIRECTOR)
(336) 540-9400
Entity
Organization
Contact information
Practice address
2711 PINEDALE ROAD, SUITE A, GREENSBORO, NC 27408
(336) 540-9400
Mailing address
2711A PINEDALE ROAD, SUITE A, GREENSBORO, NC 27408
(336) 540-9400
(336) 540-9454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC0005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016FA
BCBS
NC
05
—
6005300
—
NC
01
—
D1668
MEDCOST
NC
Enumeration date
05/23/2006
Last updated
08/22/2020
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