SUMMIT COUNSELING AND COACHING LLC NPI 1710342746

NPI Information

NPI: 1710342746
Provider Name: SUMMIT COUNSELING AND COACHING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
10305 DAWSONS CREEK BLVD
STE C
FORT WAYNE, IN
ZIP 46825
Phone: (260) 710-8175
Get Directions

SUMMIT COUNSELING AND COACHING LLC is a mental health counselor in Fort Wayne, IN. SUMMIT COUNSELING AND COACHING LLC NPI is 1710342746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10305 DAWSONS CREEK BLVD
STE C
FORT WAYNE, IN
ZIP 46825-914
Phone: (260) 710-8175
Fax: (260) 710-8176

The provider's authorized official is K. Randall Miller .
The authorized official title is Owner/provider/president and has the following contact phone number (260) 710-8175.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 12/17/2015.

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	101YM0800X	Counselor	Mental Health	39002091A	INDIANA	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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »