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NPI Code Detail

MEDICARE: SUMMITSTONE HEALTH PARTNERS

MEDICARE: SUMMITSTONE HEALTH PARTNERS
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1982112371
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMITSTONE HEALTH PARTNERS
Provider Business Mailing Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number : 970-494-4200
Fax Number : 844-270-1824
Provider Business Practice Location Address
First Line : 700 CENTRE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1842
Country : US
Telephone Number : 970-494-4200
Fax Number :
Authorized Official
Title or Position : CEO
Name : CYNTHIA DODDS
Credential : LMFT
Telephone Number : 970-494-4200
Provider Enumeration Date : 01/19/2018
Last Update Date : 11/11/2024

Similar Medicare Providers

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1003165978 — KATHERINE MACDOUGALL MSW
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1336674332 — ROBYN PAYNE LAC, CRC, MA
Practice Location Address:
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Directions to “SUMMITSTONE HEALTH PARTNERS ” Practice Location

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