Provider Demographics
NPI:1972037273
Name:WHITTINGTON, SUMMER ROYALE
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:ROYALE
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 AMBER ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-5628
Mailing Address - Country:US
Mailing Address - Phone:337-277-7701
Mailing Address - Fax:
Practice Address - Street 1:120 AMBER ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-5628
Practice Address - Country:US
Practice Address - Phone:337-277-7701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor