| Summit Wellness Counseling, Llc | |
|
1717 Centennial Blvd Ste 12 Springfield OR 97477-3378 | |
| (541) 203-6698 | |
| (541) 229-1285 |
| Full Name | Summit Wellness Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1717 Centennial Blvd Ste 12, Springfield, Oregon |
| Authorized Official Name and Position | Aaron Porter (OWNER & THERAPIST) |
| Authorized Official Contact | 5412036698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Wellness Counseling, Llc 1717 Centennial Blvd Ste 12 Springfield OR 97477-3378 Ph: (541) 203-6698 | Summit Wellness Counseling, Llc 1717 Centennial Blvd Ste 12 Springfield OR 97477-3378 Ph: (541) 203-6698 |
| NPI Number | 1912540519 |
|---|---|
| Provider Enumeration Date | 10/26/2019 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912540519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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