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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
(704) 996-8684
Mailing address
PO BOX 593, HUNTERSVILLE, NC 28070-0593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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