MEDICARE: DR. SUMMER LEIGH VAIL PHD., LCMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	8159	SC

General Provider Information

NPI Number	:	1427763168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUMMER LEIGH VAIL PHD., LCMFT

Provider Business Mailing Address
First Line	:	962 HOUSTON NORTHCUTT BLVD STE 200
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3749
Country	:	US
Telephone Number	:	205-765-3092
Fax Number	:

Provider Business Practice Location Address
First Line	:	962 HOUSTON NORTHCUTT BLVD STE 200
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3749
Country	:	US
Telephone Number	:	785-367-2437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2023
Last Update Date	:	03/30/2026

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