Summit Family Therapy Pllc

LBN: Summit Family Therapy Pllc
Summit Family Therapy Pllc is an health care organization with primary practice located at 7210 N Villa Lake Dr Ste C , Peoria IL 61614-8290. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Summit Family Therapy Pllc can be contacted via phone (309) 713-1485, or through Stivers, Courtney via phone (309) 713-1485.

Contact Information

Primary practice address
7210 N Villa Lake Dr Ste C Peoria IL 61614-8290
Phone: (309) 713-1485
Fax: (309) 419-4328
Website:
Map and Directions
Authorized official contact:
Name: Stivers, Courtney PHD LMFT
Phone: (309) 713-1485

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1548704372
LBN Legal business name Summit Family Therapy Pllc
DBA Doing business as
Authorized official Stivers, Courtney PHD LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2016
Last updated Nov 2nd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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