| Summit Health Llc | |
|
3150 Custer Dr 201 Lexington KY 40517-4010 | |
| (859) 229-0085 | |
| Not Available |
| Full Name | Summit Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3150 Custer Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Kevin John Siders (MEMBER OWNER) |
| Authorized Official Contact | 8592290085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Health Llc 3150 Custer Dr 201 Lexington KY 40517-4010 Ph: (859) 229-0085 | Summit Health Llc 3150 Custer Dr 201 Lexington KY 40517-4010 Ph: (859) 229-0085 |
| NPI Number | 1609188689 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609188689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
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Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
Andre N. Fernandez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Darby Creek Rd, Suite 21, Lexington, KY 40509 Phone: 859-263-9305 Fax: 859-264-1169 | |
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