Provider Demographics
NPI:1669848941
Name:PINNACLE FAMILY SERVICES OF FLORIDA, LLC.
Entity Type:Organization
Organization Name:PINNACLE FAMILY SERVICES OF FLORIDA, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTRELLA
Authorized Official - Middle Name:ALVAREZ
Authorized Official - Last Name:GRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-252-3328
Mailing Address - Street 1:12955 SW 132ND ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7205
Mailing Address - Country:US
Mailing Address - Phone:305-252-3328
Mailing Address - Fax:305-252-3224
Practice Address - Street 1:4101 RAVENSWOOD RD
Practice Address - Street 2:SUITE 323
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-5373
Practice Address - Country:US
Practice Address - Phone:954-316-4926
Practice Address - Fax:954-316-4921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health