| Pinnacle Point Supportive Services, Llc | |
|
4000 Tuckaseegee Rd Charlotte NC 28208-2832 | |
| (704) 523-5775 | |
| Not Available |
| Full Name | Pinnacle Point Supportive Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4000 Tuckaseegee Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Daloria Teague (OWNER) |
| Authorized Official Contact | 7045235775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Point Supportive Services, Llc Po Box 667394 Charlotte NC 28266-7394 Ph: () - | Pinnacle Point Supportive Services, Llc 4000 Tuckaseegee Rd Charlotte NC 28208-2832 Ph: (704) 523-5775 |
| NPI Number | 1053617456 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 3577736743 |
|---|---|
| Medicare Enrollment ID | O20170426000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053617456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
| Provider Name | Ramesh Gihwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447200183 PECOS PAC ID: 0840233193 Enrollment ID: I20150429000164 |
| Provider Name | Daloria T Teague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528395050 PECOS PAC ID: 7810160082 Enrollment ID: I20170426000192 |
| Provider Name | Stefani T Eddins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619361458 PECOS PAC ID: 6608114111 Enrollment ID: I20190207002577 |
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