Provider Demographics
NPI:1225646391
Name:PINNACLE INSIGHT LLC
Entity Type:Organization
Organization Name:PINNACLE INSIGHT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH PROVIDER/SOLE PR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:970-901-0937
Mailing Address - Street 1:307 N MAIN ST STE I
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-2450
Mailing Address - Country:US
Mailing Address - Phone:970-901-0937
Mailing Address - Fax:970-641-4224
Practice Address - Street 1:307 N MAIN ST STE I
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2450
Practice Address - Country:US
Practice Address - Phone:970-901-0937
Practice Address - Fax:970-641-4224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty