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Organization
PINNACLE THERAPEUTIC SERVICES
Active
Organization
PINNACLE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN SIMMONS (PRESIDENT)
(704) 996-8684
Entity
Organization
Contact information
Practice address
5630 PHILLIPS ST, CHARLOTTE, NC 28269-7332
(704) 996-8684
Mailing address
PO BOX 593, HUNTERSVILLE, NC 28070-0593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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