SUMMIT FAMILY THERAPY PLLC NPI 1548704372

NPI Information

NPI: 1548704372
Provider Name: SUMMIT FAMILY THERAPY PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
7210 N VILLA LAKE DR STE C
PEORIA, IL
ZIP 61614
Phone: (309) 713-1485
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SUMMIT FAMILY THERAPY PLLC is a professional counselor in Peoria, IL. SUMMIT FAMILY THERAPY PLLC NPI is 1548704372. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7210 N VILLA LAKE DR STE C
PEORIA, IL
ZIP 61614-290
Phone: (309) 713-1485
Fax: (309) 419-4328

The provider's authorized official is Courtney Stivers .
The authorized official title is Marriage & Family Therapist/owner and has the following contact phone number (309) 713-1485.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 11/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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