Healthcare Provider Details

I. General information

NPI: 1477745917
Provider Name (Legal Business Name): PINEDA COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 08/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549 E PLAZA CIR DR SUITE A
LITCHFIELD PARK AZ
85340-4918
US

IV. Provider business mailing address

549 E PLAZA CIR DR SUITE A
LITCHFIELD PARK AZ
85340-4918
US

V. Phone/Fax

Practice location:
  • Phone: 623-398-2268
  • Fax: 623-218-1859
Mailing address:
  • Phone: 623-398-2268
  • Fax: 623-218-1859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-11093
License Number StateAZ

VIII. Authorized Official

Name: MRS. ESTHER M PINEDA
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 602-577-4424