Provider Demographics
NPI:1528398567
Name:SUMMEY COUNSELING, PLLC
Entity Type:Organization
Organization Name:SUMMEY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-329-5001
Mailing Address - Street 1:2501 HOLLY OAK LN
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-0003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:32 N MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3162
Practice Address - Country:US
Practice Address - Phone:980-329-5001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7189101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty