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Organization

CORNERSTONE SUPPORTS AND CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLE DAWKINS RMHCI (CEO)
(407) 860-0639
Entity
Organization

Contact information

Practice address
1515 S ORLANDO AVE STE F, MAITLAND, FL 32751-6471
(407) 860-0639
Mailing address
1326 PLUMGRASS CIR, OCOEE, FL 34761-5717
(407) 860-0639

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
10/05/2016
Last updated
11/06/2024
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