Healthcare Provider Details

I. General information

NPI: 1124464060
Provider Name (Legal Business Name): SUSAN G SUMMERS LCPC, LCAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2013
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEW PERSPECTIVES LLC 8623 E. 23ND ST NORTH
WICHITA KS
67226
US

IV. Provider business mailing address

2400 N WOODLAWN BLVD STE 110
WICHITA KS
67220-3956
US

V. Phone/Fax

Practice location:
  • Phone: 316-869-2888
  • Fax: 316-425-5550
Mailing address:
  • Phone: 316-206-1127
  • Fax: 316-206-1137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number256
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2870
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: