Provider Demographics
NPI:1639713621
Name:SUMMIT PLACE MENTAL HEALTH, LLC
Entity Type:Organization
Organization Name:SUMMIT PLACE MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:480-717-9252
Mailing Address - Street 1:625 W SOUTHERN AVE STE E
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-5018
Mailing Address - Country:US
Mailing Address - Phone:602-483-6356
Mailing Address - Fax:602-563-8144
Practice Address - Street 1:625 W SOUTHERN AVE STE E
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-5018
Practice Address - Country:US
Practice Address - Phone:602-483-6356
Practice Address - Fax:602-563-8144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty