Organization
PINNACLE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE TISON WADE LPC (OWER)
(229) 244-5533
Entity
Organization
Contact information
Practice address
1205 BAYTREE ROAD #8, VALDOSTA, GA 31602
(229) 244-5533
(229) 253-9066
Mailing address
1205 BAYTREE ROAD #8, VALDOSTA, GA 31602
(229) 244-5533
(229) 253-9066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
004567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127123
—
GA
Enumeration date
09/03/2013
Last updated
09/03/2013
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