Provider Demographics
NPI:1477745917
Name:PINEDA COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:PINEDA COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-577-4424
Mailing Address - Street 1:549 E PLAZA CIR DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-4918
Mailing Address - Country:US
Mailing Address - Phone:623-398-2268
Mailing Address - Fax:623-218-1859
Practice Address - Street 1:549 E PLAZA CIR DR
Practice Address - Street 2:SUITE A
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-4918
Practice Address - Country:US
Practice Address - Phone:623-398-2268
Practice Address - Fax:623-218-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-110931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZPTAN 117518Medicare UPIN