Provider Demographics
NPI:1952959975
Name:PINNACLE COUNSELING AND PSYCHOTHERAPY SERVICES LLC
Entity Type:Organization
Organization Name:PINNACLE COUNSELING AND PSYCHOTHERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:PELTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLP, CAADC
Authorized Official - Phone:616-803-9422
Mailing Address - Street 1:7199 KALAMAZOO AVE SE STE 232
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-7362
Mailing Address - Country:US
Mailing Address - Phone:616-803-9422
Mailing Address - Fax:
Practice Address - Street 1:7199 KALAMAZOO AVE SE STE 232
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316-7362
Practice Address - Country:US
Practice Address - Phone:616-803-9422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty