Healthcare Provider Details

I. General information

NPI: 1114578895
Provider Name (Legal Business Name): PINNACLE COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10623 E SPRAGUE AVE STE B
SPOKANE VALLEY WA
99206-3699
US

IV. Provider business mailing address

519 W GORDON AVE
SPOKANE WA
99205-2969
US

V. Phone/Fax

Practice location:
  • Phone: 509-953-0598
  • Fax:
Mailing address:
  • Phone: 509-953-0598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA ELISE NEELY
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 509-953-0598