| Summit Ridge Counseling Group, Inc | |
|
200 Ne Missouri Rd Ste 200 Lees Summit MO 64086-4722 | |
| (816) 729-1836 | |
| Not Available |
| Full Name | Summit Ridge Counseling Group, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 Ne Missouri Rd Ste 200, Lees Summit, Missouri |
| Authorized Official Name and Position | Justin Puch (CEO) |
| Authorized Official Contact | 8167291836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Ridge Counseling Group, Inc 200 Ne Missouri Rd Ste 200 Lees Summit MO 64086-4722 Ph: (816) 729-1836 | Summit Ridge Counseling Group, Inc 200 Ne Missouri Rd Ste 200 Lees Summit MO 64086-4722 Ph: (816) 729-1836 |
| NPI Number | 1942810403 |
|---|---|
| Provider Enumeration Date | 08/08/2020 |
| Last Update Date | 08/08/2020 |
| Certification Date | 08/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942810403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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