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General NPI Number Information
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NPI Number | 1578444063
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Entity Type | Organization
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Legal Business Name | SUMMIT THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2111 E HIGHLAND AVE STE B200
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City | PHOENIX
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State | AZ
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Zip | 85016-4741
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Country | US
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Telephone | 602-456-1240
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 E HIGHLAND AVE STE B200
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City | PHOENIX
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State | AZ
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Zip | 85016-4741
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Country | US
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Telephone | 602-456-1240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY BROYLES
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Credential | MS, LPC
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Telephone | 602-456-1240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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