# PINNACLE ADDICTION & MENTAL HEALTH THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pinnacle Addiction Ave. & Mental Health Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790306652
- **Authorized official:** STACEY PERKO LCSW (OWNER)
- **Authorized official phone:** (801) 842-8062

## Contact information

- **Practice address:** 3507 N UNIVERSITY AVE \# 375C, PROVO, UT 84604-4478
- **Practice address phone:** (801) 842-8062
- **Practice address fax:** (801) 305-6006
- **Mailing address:** 5108 W EAGLE HILL CIR, WEST JORDAN, UT 84081-3989
- **Mailing address phone:** (801) 842-8062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/01/2020
- **Last updated:** 12/04/2020