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NPI Code Detail

MEDICARE: SUMMITSTONE HEALTH PARTNERS

MEDICARE: SUMMITSTONE HEALTH PARTNERS
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1962966960
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMITSTONE HEALTH PARTNERS
Provider Business Mailing Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number : 970-494-4200
Fax Number : 844-270-1824
Provider Business Practice Location Address
First Line : 1148 E ELIZABETH ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4068
Country : US
Telephone Number : 970-494-4200
Fax Number : 844-270-5630
Authorized Official
Title or Position : CEO
Name : CYNTHIA DODDS
Credential : LMFT
Telephone Number : 970-494-4200
Provider Enumeration Date : 01/24/2019
Last Update Date : 11/11/2024

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Directions to “SUMMITSTONE HEALTH PARTNERS ” Practice Location

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