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General NPI Number Information
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NPI Number | 1801736384
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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 | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 10 CLEEK CLB
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City | CODY
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State | WY
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Zip | 82414-5111
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Country | US
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Telephone | 307-250-2667
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Fax | 307-587-5065
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Provider Business Mailing Address
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Address Line | 10 CLEEK CLB
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City | CODY
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State | WY
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Zip | 82414-5111
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Country | US
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Telephone | 307-250-2667
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Fax | 307-587-5065
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TAMARA SATTERTHWAITE
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Credential |
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Telephone | 307-250-2667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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