Summit Therapy LLC

Clinical Social Worker · Fairbanks, AK

Organization Active NPI

NPI number 1063288348

Practice location

250 Cushman St Ste 4f
Fairbanks, AK 99701-4665
Phone
(907) 978-1943
Fax
(360) 838-4806

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NPI record

NPI
1063288348
Entity type
Organization (Type 2)
Enumeration date
November 28, 2023
Last updated
November 7, 2024
Certified
November 7, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —

Mailing address

700 Sleater Kinney Rd SE Ste B189
Lacey, WA 98503-1150
Phone
(907) 978-1943
Fax
(360) 838-4806

Authorized official

Name
Carrie L Miniard, LCSW
Title
Social Worker
Phone
(907) 978-1943

About Summit Therapy LLC

Summit Therapy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 250 Cushman St Ste 4f, Fairbanks, AK 99701-4665. The NPI number 1063288348 was assigned on November 28, 2023 and the record was last updated on November 7, 2024.

The authorized official for this organization is Carrie L Miniard, LCSW, Social Worker.

Frequently asked questions

What is the NPI number of Summit Therapy LLC?

The NPI number is 1063288348.

What is the phone number of Summit Therapy LLC?

The phone number listed for the practice location is (907) 978-1943.

Where is Summit Therapy LLC located?

250 Cushman St Ste 4f, Fairbanks, AK 99701-4665.

What is the taxonomy code for Summit Therapy LLC?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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