Organization
THE ADHD CORNERSTONE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SHAW APRN (OWNER)
(225) 725-2343
Entity
Organization
Contact information
Practice address
16094 HIGHWAY 73 STE 202, PRAIRIEVILLE, LA 70769-3516
(225) 603-2100
Mailing address
16094 HIGHWAY 73 STE 202, PRAIRIEVILLE, LA 70769-3516
(225) 603-2100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/14/2019
Last updated
07/31/2019
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