Provider Demographics
NPI:1184996787
Name:ZELL, SUMMER LYNN (BCBA, LPC-A)
Entity type:Individual
Prefix:MS
First Name:SUMMER
Middle Name:LYNN
Last Name:ZELL
Suffix:
Gender:
Credentials:BCBA, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 SAM RITTENBERG BLVD STE 1B
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4125
Mailing Address - Country:US
Mailing Address - Phone:704-277-3635
Mailing Address - Fax:
Practice Address - Street 1:714 TALLWOOD RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-9025
Practice Address - Country:US
Practice Address - Phone:704-277-3635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
SC10294101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst