Provider Demographics
NPI:1982266540
Name:SUMMIT BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:SUMMIT BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:SUMMIT BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-298-6125
Mailing Address - Street 1:18573 WASHTENAW ST
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-2145
Mailing Address - Country:US
Mailing Address - Phone:248-298-6125
Mailing Address - Fax:
Practice Address - Street 1:18573 WASHTENAW ST
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-2145
Practice Address - Country:US
Practice Address - Phone:248-298-6125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty