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NPI Code Detail

MEDICARE: SUMMER ELAINE DORSETT LPC

MEDICARE: SUMMER ELAINE DORSETT LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701015996VA

General Provider Information

NPI Number : 1174461842
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER ELAINE DORSETT LPC
Provider Business Mailing Address
First Line : 770 W RIDGE RD
Second Line :
City : WYTHEVILLE
State : VA
Zip : 24382-1187
Country : US
Telephone Number : 276-223-3200
Fax Number : 276-223-0617
Provider Business Practice Location Address
First Line : 540 W MAIN ST
Second Line :
City : WYTHEVILLE
State : VA
Zip : 24382-2209
Country : US
Telephone Number : 276-223-3291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ SUMMER ELAINE DORSETT LPC” Practice Location

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