Provider Demographics
NPI:1306400395
Name:NORTHERN SUMMIT COUNSELING, LLC
Entity Type:Organization
Organization Name:NORTHERN SUMMIT COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAYRE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:330-605-8500
Mailing Address - Street 1:4526 STOW RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224
Mailing Address - Country:US
Mailing Address - Phone:330-752-1616
Mailing Address - Fax:330-217-1680
Practice Address - Street 1:4526 STOW RD
Practice Address - Street 2:SUITE A
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224
Practice Address - Country:US
Practice Address - Phone:330-752-1616
Practice Address - Fax:330-217-1680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health