| Summit Therapy Llc | |
|
3768 Gray Fox Dr Clarksville TN 37040-6236 | |
| (907) 978-1943 | |
| Not Available |
| Full Name | Summit Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3768 Gray Fox Dr, Clarksville, Tennessee |
| Authorized Official Name and Position | Carrie L Miniard (OWNER) |
| Authorized Official Contact | 9079781943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Therapy Llc 700 Sleater Kinney Rd Se Ste B189 Lacey WA 98503-1150 Ph: (907) 978-1943 | Summit Therapy Llc 3768 Gray Fox Dr Clarksville TN 37040-6236 Ph: (907) 978-1943 |
| NPI Number | 1760367569 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760367569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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