Provider Demographics
NPI:1255608840
Name:PINNACLE COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:PINNACLE COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TELINA
Authorized Official - Middle Name:F
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LPC
Authorized Official - Phone:919-302-5483
Mailing Address - Street 1:PO BOX 73081
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27722-3081
Mailing Address - Country:US
Mailing Address - Phone:919-885-4046
Mailing Address - Fax:919-477-1848
Practice Address - Street 1:106 W CHURCH ST
Practice Address - Street 2:SUITE H
Practice Address - City:CREEDMOOR
Practice Address - State:NC
Practice Address - Zip Code:27522-9766
Practice Address - Country:US
Practice Address - Phone:919-885-4046
Practice Address - Fax:919-477-1848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-26
Last Update Date:2011-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6824101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty