Summit Counseling Services Pc in Bristol - Clinical
Summit Counseling Services Pc - NPI 1619181757
Summit Counseling Services Pc is a Clinical in Bristol, Indiana. Summit Counseling Services Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Summit Counseling Services Pc is 1619181757. The last update date is 2020-08-22.
Summit Counseling Services Pc's current location address is 53658 Mark Dr, Bristol, Indiana. You can contact this provider via phone number 5742860030 and fax number 5742341994. The mailing address for Summit Counseling Services Pc is 53658 Mark Dr, Bristol, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Counseling Services Pc |
|---|---|
| Address | 53658 Mark Dr, Bristol, Indiana |
| Phone Number | 5742860030 |
| Fax Number | 5742341994 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bryant H Nancy |
| Credentials | LCSW |
| Telephone Number | 5742860030 |
NPI Number Detail
| NPI Number | 1619181757 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 53658 Mark Dr |
|---|---|
| City | Bristol |
| State | Indiana (IN) |
| Post Code | 465079710 |
| Phone Number | 5742860030 |
| Fax Number | 5742341994 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004946A |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 373890 | IN | ANTHEM GROUP NUMBER | |
| 373892 | IN | ANTHEM INDIV PROVIDER # | |
| 393533 | IN | ANTHEM INDIV PROVIDER # | |
| 485220 | IN | ANTHEM INDIV PROVIDER # |
Post Comment/ Review Below
What is the Summit Counseling Services Pc's unique identification number?
The Summit Counseling Services Pc has been assigned the NPI (National Provider Identifier) Number 1619181757 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Summit Counseling Services Pc?
The Summit Counseling Services Pc is situated at 53658 Mark Dr, in the city of Bristol, state of IN, with the zip code 465079710.
What is Summit Counseling Services Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Summit Counseling Services Pc is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Summit Counseling Services Pc receive its 1619181757 assignment from the Centers for Medicare & Medicaid Services?
The Summit Counseling Services Pc was assigned its 1619181757 by the Centers for Medicare & Medicaid Services on 2007-05-09.
As of what date was the information pertaining to Summit Counseling Services Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Summit Counseling Services Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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