| Summit Life Counseling, Pllc | |
|
402 Main St # 1198 Panhandle TX 79068-3052 | |
| (817) 219-5304 | |
| Not Available |
| Full Name | Summit Life Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 402 Main St # 1198, Panhandle, Texas |
| Authorized Official Name and Position | Douglas E Richardson (MANAGER) |
| Authorized Official Contact | 8172195304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Life Counseling, Pllc 402 Main St # 1198 Panhandle TX 79068-3052 Ph: (817) 219-5304 | Summit Life Counseling, Pllc 402 Main St # 1198 Panhandle TX 79068-3052 Ph: (817) 219-5304 |
| NPI Number | 1013754423 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013754423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Advanced Biogenetics And Life Sciences, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Elsie, Po 145, Panhandle, TX 79068 Phone: 806-395-1001 |