Healthcare Provider Details

I. General information

NPI: 1669181962
Provider Name (Legal Business Name): SUMMIT COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2022
Last Update Date: 11/25/2022
Certification Date: 11/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 ROUTE 101A
AMHERST NH
03031-2211
US

IV. Provider business mailing address

PO BOX 372
BROOKLINE NH
03033-0372
US

V. Phone/Fax

Practice location:
  • Phone: 603-932-4888
  • Fax: 866-598-4604
Mailing address:
  • Phone: 603-932-4888
  • Fax: 866-598-4604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KATE LEDOUX
Title or Position: THERAPIST
Credential: MA, LCMHC
Phone: 603-932-4888