Healthcare Provider Details

I. General information

NPI: 1699692285
Provider Name (Legal Business Name): PEAK COACHING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 PERRY RD
APEX NC
27502-7702
US

IV. Provider business mailing address

PO BOX 1505
APEX NC
27502-3505
US

V. Phone/Fax

Practice location:
  • Phone: 919-600-1508
  • Fax:
Mailing address:
  • Phone: 919-600-1058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. COURTNEY CANTRELL
Title or Position: OWNER PSYCHOLOGIST
Credential: PHD
Phone: 919-600-1508