| Summit Trail Therapeutic Services, Llc | |
|
40 Highland Cir Blue Ridge GA 30513-3602 | |
| (706) 383-9989 | |
| Not Available |
| Full Name | Summit Trail Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40 Highland Cir, Blue Ridge, Georgia |
| Authorized Official Name and Position | Lindsey Radabaugh (OWNER/THERAPIST) |
| Authorized Official Contact | 7702895528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Trail Therapeutic Services, Llc 210 Emerald Ln Mineral Bluff GA 30559-2927 Ph: () - | Summit Trail Therapeutic Services, Llc 40 Highland Cir Blue Ridge GA 30513-3602 Ph: (706) 383-9989 |
| NPI Number | 1396527594 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396527594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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