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Organization
PINNACLE THERAPEUTIC SERVICES
Active
Organization
PINNACLE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN SIMMONS (OWNER)
(336) 874-2475
Entity
Organization
Contact information
Practice address
1300 N BRIDGE ST STE 104, ELKIN, NC 28621-2352
(336) 874-2475
(800) 755-1439
Mailing address
PO BOX 593, HUNTERSVILLE, NC 28070-0593
(704) 996-8684
(800) 755-1439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689073058
NPI
NC
Enumeration date
08/21/2014
Last updated
10/26/2020
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