Provider Demographics
NPI:1538464763
Name:SUMMIT CARE AND WELLNESS
Entity Type:Organization
Organization Name:SUMMIT CARE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GINGERY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP LPC LADC
Authorized Official - Phone:402-435-2273
Mailing Address - Street 1:1700 S 24TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3056
Mailing Address - Country:US
Mailing Address - Phone:402-435-2273
Mailing Address - Fax:402-435-2274
Practice Address - Street 1:1700 S. 24TH STREET
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502
Practice Address - Country:US
Practice Address - Phone:402-435-2273
Practice Address - Fax:402-435-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE669252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency