Organization
CORNERSTONE WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS MARIE LIDDLE LPC-S (LICENSED PROFFESIONAL COUNSELOR)
(281) 593-1888
Entity
Organization
Contact information
Practice address
405 E. CROCKETT ST., CLEVELAND, TX 77327-9998
(281) 593-1888
(281) 593-1890
Mailing address
405 E. CROCKETT ST., CLEVELAND, TX 77327-9998
(281) 593-1888
(281) 593-1890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255688297
—
TX
Enumeration date
04/28/2014
Last updated
04/28/2014
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