| Summit Mental Wellness And Counseling | |
|
4630 Village Square Dr Suite 202 Paducah KY 42001-7502 | |
| (270) 777-4490 | |
| (866) 824-4022 |
| Full Name | Summit Mental Wellness And Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4630 Village Square Dr, Paducah, Kentucky |
| Authorized Official Name and Position | Kimberly Gail Wenz-sherrill (OWNER) |
| Authorized Official Contact | 2707485638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Mental Wellness And Counseling 665 W Jefferson St Paducah KY 42001-4259 Ph: (270) 748-5638 | Summit Mental Wellness And Counseling 4630 Village Square Dr Suite 202 Paducah KY 42001-7502 Ph: (270) 777-4490 |
| NPI Number | 1013315837 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013315837 | NPI | - | NPPES |
| 7100277890 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0900372 (Kentucky) | Primary |
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