Provider Demographics
NPI:1184059156
Name:PINNACLE COUNSELING
Entity type:Organization
Organization Name:PINNACLE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LEAD THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDR'E
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:478-461-2773
Mailing Address - Street 1:151 TABOR DR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-8703
Mailing Address - Country:US
Mailing Address - Phone:478-461-2773
Mailing Address - Fax:866-834-6096
Practice Address - Street 1:151 TABOR DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-8703
Practice Address - Country:US
Practice Address - Phone:478-461-2773
Practice Address - Fax:866-834-6096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0001295251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health