Healthcare Provider Details

I. General information

NPI: 1649925330
Provider Name (Legal Business Name): SUMMIT COUNSELING AND HOME CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 09/03/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 RIVER ST STE F
HYDE PARK MA
02136-2863
US

IV. Provider business mailing address

1295 RIVER ST STE F
HYDE PARK MA
02136-2863
US

V. Phone/Fax

Practice location:
  • Phone: 617-272-9085
  • Fax:
Mailing address:
  • Phone: 617-265-5064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA KING-BYNOE
Title or Position: CO-OWNER
Credential: LMHC
Phone: 617-272-9085