| Summit Mental Health & Wellness Pllc | |
|
16042 N 32nd St Ste B13 Phoenix AZ 85032-3806 | |
| (480) 300-4761 | |
| Not Available |
| Full Name | Summit Mental Health & Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16042 N 32nd St Ste B13, Phoenix, Arizona |
| Authorized Official Name and Position | Marilizabeth Birk (CEO) |
| Authorized Official Contact | 6027919028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Mental Health & Wellness Pllc 4022 E Greenway Rd Unit 1119 Phoenix AZ 85032-4797 Ph: (480) 300-4761 | Summit Mental Health & Wellness Pllc 16042 N 32nd St Ste B13 Phoenix AZ 85032-3806 Ph: (480) 300-4761 |
| NPI Number | 1679261176 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Medicare PECOS PAC ID | 6002276557 |
|---|---|
| Medicare Enrollment ID | O20230717001253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679261176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Stephanie L Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619429529 PECOS PAC ID: 5395010300 Enrollment ID: I20171002000694 |
| Provider Name | Marilizabeth Birk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306453220 PECOS PAC ID: 0345618435 Enrollment ID: I20221121002647 |
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