Provider Demographics
NPI:1396624920
Name:PIVOTAL SOLUTIONS COUNSELING LLC
Entity type:Organization
Organization Name:PIVOTAL SOLUTIONS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNDT WALDRON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:308-225-6167
Mailing Address - Street 1:224 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:NE
Mailing Address - Zip Code:69301-3766
Mailing Address - Country:US
Mailing Address - Phone:308-225-6167
Mailing Address - Fax:308-275-2042
Practice Address - Street 1:224 W 2ND ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-3766
Practice Address - Country:US
Practice Address - Phone:308-225-6167
Practice Address - Fax:308-275-2042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty