| Summit Counseling Services Llc | |
|
4132 Bristol Hwy Ste 5 Johnson City TN 37601-3162 | |
| (423) 946-1659 | |
| (423) 283-4958 |
| Full Name | Summit Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4132 Bristol Hwy Ste 5, Johnson City, Tennessee |
| Authorized Official Name and Position | Benjamin Taylor (OWNER) |
| Authorized Official Contact | 4239461659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Counseling Services Llc 161 1/2 Young Rd Johnson City TN 37604-3301 Ph: (423) 946-1659 | Summit Counseling Services Llc 4132 Bristol Hwy Ste 5 Johnson City TN 37601-3162 Ph: (423) 946-1659 |
| NPI Number | 1003329517 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003329517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3948 (Tennessee) | Primary |
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