Provider Demographics
NPI:1033619317
Name:SUMMUS BEHAVIORAL HEALTH PLLC
Entity Type:Organization
Organization Name:SUMMUS BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NASEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-882-9136
Mailing Address - Street 1:2340 E TRINITY MILLS RD STE 250
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1946
Mailing Address - Country:US
Mailing Address - Phone:214-882-9136
Mailing Address - Fax:817-622-8068
Practice Address - Street 1:2340 E TRINITY MILLS RD STE 250
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1946
Practice Address - Country:US
Practice Address - Phone:214-882-9136
Practice Address - Fax:817-622-8068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty