Healthcare Provider Details

I. General information

NPI: 1871143651
Provider Name (Legal Business Name): SUMMIT COUNSELING AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VESTAVIA PKWY STE 406
VESTAVIA AL
35216-3763
US

IV. Provider business mailing address

7524 TURNER RD
DORA AL
35062-2215
US

V. Phone/Fax

Practice location:
  • Phone: 205-379-0995
  • Fax:
Mailing address:
  • Phone: 205-379-0995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. GINA MARIE HELMS
Title or Position: OWNER
Credential: LPC
Phone: 205-379-0995