PINNACLE ADDICTION & MENTAL HEALTH THERAPY NPI 1790306652

NPI Information

NPI: 1790306652
Provider Name: PINNACLE ADDICTION & MENTAL HEALTH THERAPY

Doing Business As: PINNACLE ADDICTION AVE. & MENTAL HEALTH THERAPY

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3507 N UNIVERSITY AVE # 375C
PROVO, UT
ZIP 84604
Phone: (801) 842-8062
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PINNACLE ADDICTION & MENTAL HEALTH THERAPY is a mental health counselor in Provo, UT. PINNACLE ADDICTION & MENTAL HEALTH THERAPY NPI is 1790306652. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pinnacle Addiction Ave. & Mental Health Therapy.

The provider's business location address is:

3507 N UNIVERSITY AVE # 375C
PROVO, UT
ZIP 84604-478
Phone: (801) 842-8062
Fax: (801) 305-6006

The provider's authorized official is Stacey Perko .
The authorized official title is Owner and has the following contact phone number (801) 842-8062.

The enumeration date for this NPI number is 5/1/2020 and was last updated on 12/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	261QM0850X	Clinic/Center	Adult Mental Health			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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