Organization
CORNERSTONE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS LEE MILLARD P.H.D (PSYCHOLOGIST)
(563) 243-6054
Entity
Organization
Contact information
Practice address
1523 S BLUFF BLVD, CLINTON, IA 52732-6549
(563) 243-6054
(563) 243-6828
Mailing address
1523 S BLUFF BLVD, CLINTON, IA 52732-6549
(563) 243-6054
(563) 243-6828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23379
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/15/2006
Last updated
09/20/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us