Healthcare Provider Details

I. General information

NPI: 1619347325
Provider Name (Legal Business Name): PINNACLE BEHAVIORAL HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 BOB WALLACE AVE SW
HUNTSVILLE AL
35805-4154
US

IV. Provider business mailing address

4812 COMMERCIAL DR. NW
HUNTSVILLE AL
35816-2206
US

V. Phone/Fax

Practice location:
  • Phone: 256-518-9998
  • Fax:
Mailing address:
  • Phone: 256-518-9998
  • Fax: 256-518-9941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN LEE
Title or Position: CEO
Credential:
Phone: 256-518-9998