Provider Demographics
NPI:1750265450
Name:PRECIOUS CORNERSTONES SUPPORTIVE SERVICES LLC
Entity type:Organization
Organization Name:PRECIOUS CORNERSTONES SUPPORTIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEWIS-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CFBPCA, DMIN, QMHP,
Authorized Official - Phone:919-435-2281
Mailing Address - Street 1:1102 S GARNETT ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-4519
Mailing Address - Country:US
Mailing Address - Phone:617-970-0619
Mailing Address - Fax:617-970-0619
Practice Address - Street 1:1102 S GARNETT ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-4519
Practice Address - Country:US
Practice Address - Phone:617-970-0619
Practice Address - Fax:617-970-0619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health