Provider Demographics
NPI:1629957097
Name:PIVOT COUNSELING AND CONSULTING SERVICES, PLLC
Entity type:Organization
Organization Name:PIVOT COUNSELING AND CONSULTING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JAMERA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MHA
Authorized Official - Phone:704-980-2858
Mailing Address - Street 1:1382 DOWDEN ST
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-0107
Mailing Address - Country:US
Mailing Address - Phone:704-980-2858
Mailing Address - Fax:
Practice Address - Street 1:1382 DOWDEN ST
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-0107
Practice Address - Country:US
Practice Address - Phone:704-980-2858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251B00000XAgenciesCase Management