Provider Demographics
NPI:1972970580
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:786-735-2010
Mailing Address - Street 1:351 SW 136TH AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-3153
Mailing Address - Country:US
Mailing Address - Phone:954-639-1290
Mailing Address - Fax:954-901-2667
Practice Address - Street 1:351 SW 136TH AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-3153
Practice Address - Country:US
Practice Address - Phone:954-639-1290
Practice Address - Fax:954-901-2667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health