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General NPI Number Information
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NPI Number | 1013709559
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Entity Type | Organization
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Legal Business Name | SUMMIT WELLNESS SOLUTIONS
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 155 W MAIN ST STE 4
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City | LEHI
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State | UT
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Zip | 84043-2145
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Country | US
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Telephone | 801-413-7765
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Fax | 801-880-7509
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Provider Business Mailing Address
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Address Line | 1067 W 1400 S
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City | LEHI
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State | UT
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Zip | 84043-7473
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Country | US
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Telephone | 801-722-9411
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LISA MARIE CUMMINGS
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Credential | LCSW
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Telephone | 801-722-9411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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