Provider Demographics
NPI:1952125528
Name:PENSIEVE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:PENSIEVE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:TOIVO
Authorized Official - Last Name:MIKKOLA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-331-5017
Mailing Address - Street 1:4700 S MILL AVE STE B8
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-6736
Mailing Address - Country:US
Mailing Address - Phone:480-331-5017
Mailing Address - Fax:
Practice Address - Street 1:4700 S MILL AVE STE B8
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-6736
Practice Address - Country:US
Practice Address - Phone:480-331-5017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty