Healthcare Provider Details
I. General information
NPI: 1396624920
Provider Name (Legal Business Name): PIVOTAL SOLUTIONS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
224 W 2ND ST
ALLIANCE NE
69301-3766
US
IV. Provider business mailing address
224 W 2ND ST
ALLIANCE NE
69301-3766
US
V. Phone/Fax
- Phone: 308-225-6167
- Fax: 308-275-2042
- Phone: 308-225-6167
- Fax: 308-275-2042
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATALIE
MUNDT WALDRON
Title or Position: OWNER/PROVIDER
Credential: LMHP
Phone: 308-225-6167