| Summit Family Therapy Pllc | |
|
7210 N Villa Lake Dr Ste C Peoria IL 61614-8290 | |
| (309) 713-1485 | |
| (309) 419-4328 |
| Full Name | Summit Family Therapy Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7210 N Villa Lake Dr Ste C, Peoria, Illinois |
| Authorized Official Name and Position | Courtney Stivers (MARRIAGE & FAMILY THERAPIST/OWNER) |
| Authorized Official Contact | 3097131485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Therapy Pllc 7210 N Villa Lake Dr Ste C Peoria IL 61614-8290 Ph: (309) 713-1485 | Summit Family Therapy Pllc 7210 N Villa Lake Dr Ste C Peoria IL 61614-8290 Ph: (309) 713-1485 |
| NPI Number | 1548704372 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548704372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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