Provider Demographics
NPI:1902036015
Name:PEAK SOLUTIONS COUNSELING, LLC
Entity Type:Organization
Organization Name:PEAK SOLUTIONS COUNSELING, LLC
Other - Org Name:DESERT FOOTHILLS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WADE
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:713-894-5571
Mailing Address - Street 1:21321 E OCOTILLO RD # B105
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85242-5996
Mailing Address - Country:US
Mailing Address - Phone:480-235-6680
Mailing Address - Fax:
Practice Address - Street 1:21321 E OCOTILLO RD # B105
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85242-5996
Practice Address - Country:US
Practice Address - Phone:480-235-6680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-3353101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty