Provider Demographics
NPI:1649050287
Name:SUMMIT VIEW COUNSELING
Entity type:Organization
Organization Name:SUMMIT VIEW COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRODY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-318-4721
Mailing Address - Street 1:681 S 330 W
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2838
Mailing Address - Country:US
Mailing Address - Phone:801-318-4721
Mailing Address - Fax:
Practice Address - Street 1:291 N 300 E
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-1883
Practice Address - Country:US
Practice Address - Phone:801-318-4721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty