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BLACKBIRD AND CORNERSTONE LLC
NPI 1265251094
Counselor - Professional in Statesboro, GA

Active since October 08, 2024
326 MYRTLE CROSSING DR, STATESBORO, GA 30458(912) 489-7590 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blackbird And Cornerstone Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKBIRD AND CORNERSTONE LLC (NPI 1265251094) is a healthcare organization registered as a professional in Statesboro, Georgia and active in the NPI registry since October 2024. The organization lists Carly Melissa Mock, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1265251094
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBLACKBIRD AND CORNERSTONE LLC
Location Address326 MYRTLE CROSSING DRStatesboro, GA 30458-4688
Mailing Address175 Pat Mock RoadStatesboro, GA 30458-6483 · (912) 618-9568
Phone(912) 489-7590
Organization SubpartNo
Authorized OfficialCarly Melissa MockLicensed Professional Counselor · (912) 618-9568
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1265251094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
326 MYRTLE CROSSING DR, Statesboro, GA 30458
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRESH START COUNSELING SERVICES
Counselor (Professional)
326 MYRTLE CROSSING DR, SUITE 200
STATESBORO, GA 30458
Bulloch County (912) 489-7590
MADISON LEIGH FIELDS LPC
Counselor (Professional)
326 MYRTLE CROSSING DR
STATESBORO, GA 30458
Bulloch County (912) 764-7001
MRS. EMMA DASHER HAGAN M.ED., APC
Counselor (Professional)
326 MYRTLE CROSSING DR
STATESBORO, GA 30458
Bulloch County (912) 764-7001
MRS. AMANDA ROBERSON BOYLES M.ED., LPC
Counselor (Professional)
326 MYRTLE CROSSING DR
STATESBORO, GA 30458
Bulloch County (912) 489-7590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackbird And Cornerstone LLC's NPI number?

The NPI number for Blackbird And Cornerstone LLC is 1265251094. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Blackbird And Cornerstone LLC located?

Blackbird And Cornerstone LLC is located at 326 Myrtle Crossing Dr, Statesboro, GA 30458. The listed phone number is (912) 489-7590.

What is Blackbird And Cornerstone LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Blackbird And Cornerstone LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.