| Summit Therapeutic Services, Llc | |
|
12401 E 43rd St S Ste 121 Independence MO 64055-5925 | |
| (816) 500-6436 | |
| (816) 774-8132 |
| Full Name | Summit Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12401 E 43rd St S Ste 121, Independence, Missouri |
| Authorized Official Name and Position | Nicholas Alvin Simons-bracken (OWNER) |
| Authorized Official Contact | 8165006436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Therapeutic Services, Llc 668 Se Bayberry Ln Ste 101 Lees Summit MO 64063-4366 Ph: (816) 500-6436 | Summit Therapeutic Services, Llc 12401 E 43rd St S Ste 121 Independence MO 64055-5925 Ph: (816) 500-6436 |
| NPI Number | 1841766425 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841766425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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