Healthcare Provider Details

I. General information

NPI: 1821973835
Provider Name (Legal Business Name): SOUR LEMONS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2236 FOX DEN DR
NAVARRE FL
32566-2800
US

IV. Provider business mailing address

2236 FOX DEN DR
NAVARRE FL
32566-2800
US

V. Phone/Fax

Practice location:
  • Phone: 260-452-8847
  • Fax:
Mailing address:
  • Phone: 260-452-8847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SUMMER SALMANS
Title or Position: OWNER
Credential: LCSW
Phone: 260-452-8847