MEDICARE: PINNACLE TREATMENT CENTERS KY-I, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center		KY
2	324500000X	Substance Abuse Rehabilitation Facility	101720	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588927339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE TREATMENT CENTERS KY-I, LLC

Provider Business Mailing Address
First Line	:	1317 ROUTE 73 STE 200
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-2202
Country	:	US
Telephone Number	:	856-439-6111
Fax Number	:

Provider Business Practice Location Address
First Line	:	3107 CINCINNATI RD
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9505
Country	:	US
Telephone Number	:	502-570-9313
Fax Number	:	502-867-7978

Authorized Official
Title or Position	:	EXEC DIR CONTRACT MGMT
Name	:	ROBYN TANIS
Credential	:
Telephone Number	:	856-533-8762

Provider Enumeration Date	:	06/18/2012
Last Update Date	:	03/18/2022

Similar Medicare Providers

1235442013 — MS. CRYSTAL R MAYFIELD BSW, CADC, CSS
Practice Location Address:

3107 CINCINNATI RD
GEORGETOWN, KY
40324-9505

Practice Phone: 502-570-9313
Practice Fax:

1295236537 — JESSICA ELIZABETH DUVAL LCSW, LCADC
Practice Location Address:

3107 CINCINNATI RD
GEORGETOWN, KY
40324-9505

Practice Phone: 502-570-9313
Practice Fax:

1033717442 — PINNACLE TREATMENT CENTERS KY-I, LLC
Practice Location Address:

3107 CINCINNATI RD
GEORGETOWN, KY
40324-9505

Practice Phone: 502-570-9313
Practice Fax:

1568194850 — NEW BEGINNINGS CHIROPRACTIC OF GEORGETOWN PLLC
Practice Location Address:

3107 CINCINNATI RD
GEORGETOWN, KY
40324-9505

Practice Phone: 859-374-1479
Practice Fax: 859-239-0044

1194999771 — MISS KRISTAL N HANKINSON LMFT
Practice Location Address:

105 WINDSOR PATH STE 105
GEORGETOWN, KY
40324-9818

Practice Phone: 216-468-5000
Practice Fax:

1427987908 — TAYLOR DIAMOND
Practice Location Address:

117 E JEFFERSON ST
GEORGETOWN, KY
40324-1764

Practice Phone: 859-224-2273
Practice Fax: 859-224-4675

Directions to “PINNACLE TREATMENT CENTERS KY-I, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.