| Summit Clinical Services Pllc | |
|
2708 E Tanager Trl Orange TX 77632-0750 | |
| (409) 729-0400 | |
| Not Available |
| Full Name | Summit Clinical Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2708 E Tanager Trl, Orange, Texas |
| Authorized Official Name and Position | Larry Wilson (OWNER/PRESIDENT) |
| Authorized Official Contact | 4097290400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Clinical Services Pllc 2708 E Tanager Trl Orange TX 77632-0750 Ph: () - | Summit Clinical Services Pllc 2708 E Tanager Trl Orange TX 77632-0750 Ph: (409) 729-0400 |
| NPI Number | 1225219090 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225219090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 14885 (Texas) | Primary |
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