Summit Mental Health Llc | |
75 W 100 S Ste 200 Logan UT 84321-5842 | |
(801) 828-7594 | |
(435) 466-7048 |
Full Name | Summit Mental Health Llc |
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Speciality | Social Worker |
Location | 75 W 100 S Ste 200, Logan, Utah |
Authorized Official Name and Position | Kelsey Caroline Fenton (OWNER) |
Authorized Official Contact | 8018287594 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Mental Health Llc 75 W 100 S Ste 200 Logan UT 84321-5842 Ph: (801) 828-7594 | Summit Mental Health Llc 75 W 100 S Ste 200 Logan UT 84321-5842 Ph: (801) 828-7594 |
NPI Number | 1508549957 |
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Provider Enumeration Date | 08/11/2023 |
Last Update Date | 08/11/2023 |
Certification Date | 08/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508549957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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