Healthcare Provider Details

I. General information

NPI: 1134056708
Provider Name (Legal Business Name): PIVOT POINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 N 44TH ST
PHOENIX AZ
85018-6459
US

IV. Provider business mailing address

3326 N 44TH ST
PHOENIX AZ
85018-6459
US

V. Phone/Fax

Practice location:
  • Phone: 630-532-3036
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS OWUSU
Title or Position: DIRECTOR
Credential:
Phone: 630-532-3036