Provider Demographics
NPI:1902168123
Name:PEAK SOLUTIONS COUNSELING
Entity Type:Organization
Organization Name:PEAK SOLUTIONS COUNSELING
Other - Org Name:DESERT FOOTHILLS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:928-646-0347
Mailing Address - Street 1:849 COVE PKWY
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-4682
Mailing Address - Country:US
Mailing Address - Phone:928-646-0347
Mailing Address - Fax:
Practice Address - Street 1:849 COVE PKWY
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4682
Practice Address - Country:US
Practice Address - Phone:928-646-0347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10980101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty