Healthcare Provider Details
I. General information
NPI: 1780574087
Provider Name (Legal Business Name): PINNACLE MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
688 STREAMSIDE DR UNIT L
ALEXANDRIA KY
41001-3500
US
IV. Provider business mailing address
PO BOX 17233
COVINGTON KY
41017-0233
US
V. Phone/Fax
- Phone: 513-505-0354
- Fax:
- Phone: 513-505-0354
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHELLE
SARETTE
MCBRIDE
Title or Position: OWNER
Credential: DNP
Phone: 513-505-0354