Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackbird and Cornerstone LLC

Organization Professional Counselor · NPI 1265251094

Blackbird and Cornerstone LLC is a Professional Counselor in Statesboro, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

326 Myrtle Crossing Dr
Statesboro, GA 30458-4688
Phone: (912) 489-7590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1265251094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carly Mock — Licensed Professional Counselor · (912) 618-9568
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address175 Pat Mock Road, Statesboro, GA 30458-6483

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