CORNERSTONE MENTAL HEALTH SERVICES


Address: 2104 Crossbridge Blvd, Byram, MS 39272-8716
Phone: 6014878630

CORNERSTONE MENTAL HEALTH SERVICES (NPI# 1609327329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609327329
Entity Type Organization
Organization Name CORNERSTONE MENTAL HEALTH SERVICES
Practice Address 2104 Crossbridge Blvd
Byram
MS 39272-8716
Practice Telephone 6014878630
Mailing Telephone 6014878630
Enumeration Date 2016-10-18
Last Update Date 2016-10-18
Authorized Official Name TERESA HAMMAKER (NURSE PRACTITIONER)
Authorized Official Telephone 6019421148
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
R875679 MS Ambulatory Health Care Facilities

Office Location

Street Address 2104 CROSSBRIDGE BLVD
City BYRAM
State MS
Zip Code 39272-8716

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1962893396 Rebecca Holley Speech-Language Pathologist 7213 S Siwell Road, Byram, MS 39272 2015-02-06
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1568742146 Deandre Monique Carr Optometrist 131 Handley Boulevard, Byram, MS 39272 2011-08-26
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City BYRAM
Zip Code 39272

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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