CORNERSTONE RESTORATION AND TRAINING SERVICES (NPI# 1720517923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720517923 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE RESTORATION AND TRAINING SERVICES |
| Practice Address |
1700 Blair St Richmond VA 23220-6406 |
| Mailing Address |
4411 Wistar Rd Henrico VA 23228-2640 |
| Practice Telephone | 8048527645 |
| Mailing Telephone | 8048527645 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. ELLIS O. HENDERSON (OWNER) |
| Authorized Official Telephone | 8048527645 |
| Authorized Official Credential | ED.D, M.DIV |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0904006909 | VA | Ambulatory Health Care Facilities |
| Street Address |
1700 BLAIR ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124504998 | The Way4life Family Services, Inc | Clinic/Center | 1700 Blair St, Richmond, VA 23220 | 2018-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752577 | Association for Individual Development | Clinic/Center | 5615 Liberty St, Richmond, IL 60071-9531 | 2020-05-21 |
| 1841810751 | Nl Mental Health Care LLC | Clinic/Center | 8310 Solitude Hill Ln, Richmond, TX 77407-1489 | 2020-04-21 |
| 1699309880 | Mental Care Behavioral Health, LLC | Clinic/Center | 815 Perry St Apt 111, Richmond, VA 23224-2274 | 2020-02-26 |
| 1154966273 | Andrew D Snyder Md LLC | Clinic/Center | 313 E Broad St # C3, Richmond, VA 23219-1737 | 2019-11-12 |
| 1457821241 | Team LLC | Clinic/Center | 701 E Franklin St Ste 710, Richmond, VA 23219-2511 | 2018-12-05 |
| 1205340650 | Outreach Involvement Center | Clinic/Center | 214 Cowardin Ave, Richmond, VA 23224-2075 | 2017-11-21 |
| 1215449699 | Green Counseling & Consulting LLC | Clinic/Center | 4808 Hillbrook Ave, Richmond, VA 23231-2147 | 2017-10-25 |
| 1326558297 | Forman Psychological Services LLC | Clinic/Center | 2800 N Parham Rd Ste 107, Richmond, VA 23294-4409 | 2017-10-05 |
| 1306369061 | Raising Outstanding Minds, LLC | Clinic/Center | 1108 E Main St Ste 801, Richmond, VA 23219-3522 | 2017-07-24 |
| 1366963167 | Krystle Dandridge LLC | Clinic/Center | 3514 E Richmond Rd Apt 7, Richmond, VA 23223-6863 | 2017-06-30 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on CORNERSTONE RESTORATION AND TRAINING SERVICES.
| 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.