Provider Demographics
NPI:1225227887
Name:SUMMIT COUNSELING CENTER
Entity Type:Organization
Organization Name:SUMMIT COUNSELING CENTER
Other - Org Name:RIDGEDALE BAPTIST CHURCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR RIDGEDALE BAPTIST CHU
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:APPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-855-0402
Mailing Address - Street 1:6400 LEE HIGHWAY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421
Mailing Address - Country:US
Mailing Address - Phone:423-855-0402
Mailing Address - Fax:423-648-9369
Practice Address - Street 1:6400 LEE HIGHWAY
Practice Address - Street 2:SUITE 106
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421
Practice Address - Country:US
Practice Address - Phone:423-855-0402
Practice Address - Fax:423-648-9369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty