Blackbird and Cornerstone LLC
NPI #1265251094 in Statesboro, Georgia
Provider Information
- NPI Number
- 1265251094
- Entity Type
- Organization
- Organization Name
- Blackbird and Cornerstone LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 8, 2024
- Last Updated
- Oct 8, 2024
Practice Location
- Address
- 326 MYRTLE CROSSING DR
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-4688
- Phone
- (912) 489-7590
Authorized Official
- Name
- MRS. CARLY MELISSA MOCK, LPC, MS
- Title
- LICENSED PROFESSIONAL COUNSELOR
- Phone
- (912) 618-9568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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