Healthcare Provider Details

I. General information

NPI: 1689598492
Provider Name (Legal Business Name): SUMMER C JONES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 BROOKSIDE BLVD
RICHMOND VA
23227-1909
US

IV. Provider business mailing address

5901 BROOKSIDE BLVD
RICHMOND VA
23227-1909
US

V. Phone/Fax

Practice location:
  • Phone: 434-906-3930
  • Fax:
Mailing address:
  • Phone: 434-906-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUMMER CAROLINE JONES
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCSW
Phone: 434-218-2660