| Summers Marriage & Family Therapy, Inc. | |
|
4181 Flat Rock Dr Ste 302 Riverside CA 92505-7106 | |
| (909) 777-9798 | |
| Not Available |
| Full Name | Summers Marriage & Family Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4181 Flat Rock Dr Ste 302, Riverside, California |
| Authorized Official Name and Position | Mark Summers (CEO) |
| Authorized Official Contact | 9517779798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summers Marriage & Family Therapy, Inc. 2621 Green River Rd # 105-151 Corona CA 92882-7433 Ph: (951) 777-9798 | Summers Marriage & Family Therapy, Inc. 4181 Flat Rock Dr Ste 302 Riverside CA 92505-7106 Ph: (909) 777-9798 |
| NPI Number | 1477261113 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 0345688677 |
|---|---|
| Medicare Enrollment ID | O20240405001923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477261113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Mark A Summers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174665210 PECOS PAC ID: 1254779580 Enrollment ID: I20240411001954 |
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