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General NPI Number Information
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NPI Number | 1700096658
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Entity Type | Organization
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Legal Business Name | SUMMIT FAMILY COUNSELING, LLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 220 E HORIZON DR SUITE G
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City | HENDERSON
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State | NV
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Zip | 89015-8035
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Country | US
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Telephone | 702-568-5888
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Fax | 702-568-7554
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Provider Business Mailing Address
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Address Line | 220 E HORIZON DR SUITE G
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City | HENDERSON
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State | NV
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Zip | 89015-8035
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Country | US
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Telephone | 702-568-5888
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Fax | 702-568-7554
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. BRUCE MARTIN PARSONS
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Credential | LADC, MFT
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Telephone | 702-568-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1144L
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | R03320
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 01072
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License Number State | NV
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