Summit Therapy Llc | |
700 Sleater Kinney Rd Se Ste B189 Lacey WA 98503-1150 | |
(619) 436-7157 | |
Not Available |
Full Name | Summit Therapy Llc |
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Speciality | Social Worker - Clinical |
Location | 700 Sleater Kinney Rd Se Ste B189, Lacey, Washington |
Authorized Official Name and Position | Carrie L Miniard (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6194367157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Therapy Llc 6920 43rd Loop Se Lacey WA 98503-7114 Ph: (619) 436-7157 | Summit Therapy Llc 700 Sleater Kinney Rd Se Ste B189 Lacey WA 98503-1150 Ph: (619) 436-7157 |
NPI Number | 1235911579 |
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Provider Enumeration Date | 10/20/2023 |
Last Update Date | 11/21/2023 |
Certification Date | 11/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235911579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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