Healthcare Provider Details

I. General information

NPI: 1255150595
Provider Name (Legal Business Name): AZ PINNACLE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2024
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 E SHEA BLVD STE 255
SCOTTSDALE AZ
85254-4612
US

IV. Provider business mailing address

5731 E WOODRIDGE DR
SCOTTSDALE AZ
85254-5998
US

V. Phone/Fax

Practice location:
  • Phone: 480-382-2807
  • Fax:
Mailing address:
  • Phone: 602-206-5018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: STEVE LEVEAU
Title or Position: GENERAL MANAGER
Credential:
Phone: 480-382-2807