Provider Demographics
NPI:1780161919
Name:SUMMIT ASSESSMENTS AND THERAPY LLC
Entity type:Organization
Organization Name:SUMMIT ASSESSMENTS AND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:LILLY
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-358-1721
Mailing Address - Street 1:325 SECOND ST STE U
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-9217
Mailing Address - Country:US
Mailing Address - Phone:719-477-3758
Mailing Address - Fax:719-631-0676
Practice Address - Street 1:325 SECOND ST STE U
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9217
Practice Address - Country:US
Practice Address - Phone:719-477-3758
Practice Address - Fax:719-631-0676
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE EMPOWERMENT COMPANY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-20
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty