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NPI Code Detail

MEDICARE: SUMMIT COUNSELING SERVICES, LLC

MEDICARE: SUMMIT COUNSELING SERVICES, LLC
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2017TMOTHERNCBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1831276898
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : 1207 EAST ST
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3438
Country : US
Telephone Number : 828-456-6120
Fax Number : 828-456-6164
Provider Business Practice Location Address
First Line : 1207 EAST ST
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3438
Country : US
Telephone Number : 828-456-6120
Fax Number : 828-456-6164
Authorized Official
Title or Position : CHIEF EXCEUTIVE OFFICER
Name : CARL D LOSACCO
Credential : MSW
Telephone Number : 828-456-6120
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/22/2020

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Directions to “SUMMIT COUNSELING SERVICES, LLC ” Practice Location

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