Provider Demographics
NPI:1386530913
Name:CORNERSTONE BEHAVIORAL HEALTH SOLUTIONS, LLC
Entity type:Organization
Organization Name:CORNERSTONE BEHAVIORAL HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THARTA
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:804-787-0408
Mailing Address - Street 1:721 CHARLOTTE ST
Mailing Address - Street 2:STE H
Mailing Address - City:TAPPAHANNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22560
Mailing Address - Country:US
Mailing Address - Phone:804-787-0408
Mailing Address - Fax:
Practice Address - Street 1:721 CHARLOTTE ST
Practice Address - Street 2:STE H
Practice Address - City:TAPPAHANNOCK
Practice Address - State:VA
Practice Address - Zip Code:22560
Practice Address - Country:US
Practice Address - Phone:804-787-0408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty