Provider Demographics
NPI:1023600491
Name:PINNACLE BEHAVIORAL HEALTH AND WELLNESS
Entity type:Organization
Organization Name:PINNACLE BEHAVIORAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AFI
Authorized Official - Middle Name:
Authorized Official - Last Name:KPAKOSSOU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:469-915-4211
Mailing Address - Street 1:6570 UNITY ST
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-4968
Mailing Address - Country:US
Mailing Address - Phone:336-762-0099
Mailing Address - Fax:336-762-0099
Practice Address - Street 1:6570 UNITY ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-4968
Practice Address - Country:US
Practice Address - Phone:336-762-0099
Practice Address - Fax:336-762-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty