| Pinnacle Therapeutic Services, Pllc | |
|
15901 Central Commerce Dr Ste 104 Pflugerville TX 78660-2042 | |
| (512) 979-6708 | |
| Not Available |
| Full Name | Pinnacle Therapeutic Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15901 Central Commerce Dr Ste 104, Pflugerville, Texas |
| Authorized Official Name and Position | Shawna Moss (OWNER) |
| Authorized Official Contact | 7062028156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Therapeutic Services, Pllc 14199 Ih 35 Apt 25202 Pflugerville TX 78660-6451 Ph: (706) 202-8156 | Pinnacle Therapeutic Services, Pllc 15901 Central Commerce Dr Ste 104 Pflugerville TX 78660-2042 Ph: (512) 979-6708 |
| NPI Number | 1669241279 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 8921459538 |
|---|---|
| Medicare Enrollment ID | O20240108006212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669241279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shawna L Moss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609151166 PECOS PAC ID: 4385956945 Enrollment ID: I20150710000056 |
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