| Summit Therapy Center Llc | |
|
4419 Cleveland Rd Wooster OH 44691-1233 | |
| (330) 345-8450 | |
| (330) 345-5899 |
| Full Name | Summit Therapy Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4419 Cleveland Rd, Wooster, Ohio |
| Authorized Official Name and Position | Chevelle Snyder (BILLING SPECIALIST) |
| Authorized Official Contact | 4194646907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Therapy Center Llc 4419 Cleveland Rd Wooster OH 44691-1233 Ph: (330) 345-8450 | Summit Therapy Center Llc 4419 Cleveland Rd Wooster OH 44691-1233 Ph: (330) 345-8450 |
| NPI Number | 1093856494 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 0840712295 |
|---|---|
| Medicare Enrollment ID | O20250314002982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093856494 | NPI | - | NPPES |
| Provider Name | Douglas R Princehorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699941120 PECOS PAC ID: 7618158429 Enrollment ID: I20110228000538 |
| Provider Name | Anissa Lynn Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417123068 PECOS PAC ID: 1254571144 Enrollment ID: I20130717000905 |
| Provider Name | Kristen T Mccort |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629073796 PECOS PAC ID: 1153765375 Enrollment ID: I20240215003028 |
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