Cornerstone Of Change, Llc - Medicare Mental Health Clinic in Pembroke Pines, FL

Cornerstone Of Change, Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Pembroke Pines, Florida. The current practice location for Cornerstone Of Change, Llc is 2250 Nw 136 Ave, Pembroke Pines, Florida. For appointments, you can reach them via phone at (954) 247-4157. The mailing address for Cornerstone Of Change, Llc is 5846 S Flamingo Rd # 513, Cooper City, Florida and phone number is (954) 247-4157.

Cornerstone Of Change, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053819094. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (954) 247-4157.

Contact Information

Cornerstone Of Change, Llc
2250 Nw 136 Ave
Pembroke Pines
FL 33028-2586
(954) 247-4157
Not Available

Mental Health Clinic Profile

Full NameCornerstone Of Change, Llc
SpecialityClinic/Center
Location2250 Nw 136 Ave, Pembroke Pines, Florida
Authorized Official Name and PositionTracy Oliver (MANAGER)
Authorized Official Contact9542474157
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cornerstone Of Change, Llc
5846 S Flamingo Rd # 513
Cooper City
FL 33330-3237

Ph: (954) 247-4157
Cornerstone Of Change, Llc
2250 Nw 136 Ave
Pembroke Pines
FL 33028-2586

Ph: (954) 247-4157

NPI Details:

NPI Number1053819094
Provider Enumeration Date01/24/2018
Last Update Date01/24/2018

Medicare PECOS Information:

Medicare PECOS PAC ID6103261516
Medicare Enrollment IDO20240226000920

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Medical Identifiers

Medical identifiers for Cornerstone Of Change, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053819094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cornerstone Of Change, Llc acts as a billing entity for following providers:
Provider NameTracy Oliver
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1417335977
PECOS PAC ID: 7911342324
Enrollment ID: I20240226001065

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