Provider Demographics
NPI:1851761266
Name:PINNACLE FAMILY SERVICES
Entity Type:Organization
Organization Name:PINNACLE FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL LEAD
Authorized Official - Prefix:
Authorized Official - First Name:LAURAL
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:BOECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:806-790-5016
Mailing Address - Street 1:2101 S IH 35
Mailing Address - Street 2:STE. 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-3800
Mailing Address - Country:US
Mailing Address - Phone:806-790-5016
Mailing Address - Fax:512-804-2333
Practice Address - Street 1:2101 S IH 35
Practice Address - Street 2:STE. 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-3800
Practice Address - Country:US
Practice Address - Phone:806-790-5016
Practice Address - Fax:512-804-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency