Organization · Type 2 NPI

Pinnacle Addiction & Mental Health Therapy

Mental Health Counselor · Provo, UT

NPI number 1790306652 Active

Practice location

3507 N University Ave # 375C
Provo, UT 84604-4478

Call (801) 842-8062 Map

Fax (801) 305-6006

Mailing address

5108 W Eagle Hill Cir
West Jordan, UT 84081-3989

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed

Mental Health Counselor: Definition to come...

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NPI record

NPI: 1790306652
Entity type: Organization (Type 2)
Issued: May 1, 2020
Last updated: Dec 4, 2020
Status: Active

Other names

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Pinnacle Addiction Ave. & Mental Health Therapy · doing business as
Pinnacle Addiction Ave. & Mental Health Therapy · doing business as

Authorized official

Stacey Perko, LCSW
Owner
(801) 842-8062

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790306652

Pinnacle Addiction & Mental Health Therapy's National Provider Identifier is 1790306652, issued on May 1, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on Dec 4, 2020.