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Active NPI 1467047225 Organization (Entity Type 2)

Cornwall Counseling Pllc

Clinic/Center - Mental Health (Including Community Mental Health Center) • Pullman, WA

About Cornwall Counseling Pllc NPI 1467047225 Summary

Cornwall Counseling Pllc is a verified healthcare organization specializing in Clinic/Center - Mental Health (Including Community Mental Health Center) operating in Pullman, WA. Located at 115 SW BLAINE ST STE C, this facility provides patient care and medical services under National Provider Identifier (NPI) 1467047225.

Administrative operations and authorized compliance are overseen by Kami Cornwall (Owner).

Facility Location & Contact Primary Location

Facility Address

115 Sw Blaine St Ste C

Pullman, WA 991634905

Telephone 5094323925

Authorized Official Information

Authorized Contact Name

Kami Cornwall , LCPC, LMHC

Title / Role

Owner

Official Telephone

5094323925

Facility Classifications & Specialties

Clinic/Center - Mental Health (Including Community Mental Health Center) Primary Taxonomy

NUCC Taxonomy Code: 261QM0801X

Definition to come...

Clinic/Center - Adolescent and Children Mental Health

NUCC Taxonomy Code: 261QM0855X

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active March 03, 2021

NPI status registered as active in NPPES database

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Updated Practice Location March 03, 2021

Registered at 115 SW BLAINE ST STE C, PULLMAN, WA 991634905 (Tel: 5094323925)

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Updated Business Mailing Address March 03, 2021

Registered at 115 SW BLAINE ST STE C, PULLMAN, WA 991634905 (Tel: 5094323925)

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Organization / Clinic Name Updated March 03, 2021

Operating as CORNWALL COUNSELING PLLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2021

Clinic/Center

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Initial NPI Registration & Enumeration March 03, 2021

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1467047225

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: March 03, 2021

Last Update: March 03, 2021

Update or Correct Listing

Mailing Address

115 Sw Blaine St Ste C

Pullman, WA 991634905

Phone: 5094323925

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.