Summit Experiences, Inc.

NPI #1881890630 in Richardson, Texas

Provider Information

NPI Number: 1881890630
Entity Type: Organization
Organization Name: Summit Experiences, Inc.
Primary Specialty: Specialist
Enumeration Date: Jun 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1701 N GREENVILLE AVE STE 500
City: Richardson
State: Texas
ZIP Code: 75081-1847
Phone: (972) 234-8636

Authorized Official

Name: RON DEAGE, LPC, LMFT, LCDC, CDC
Title: OWNER CLINICAL DIRECTOR
Phone: (972) 234-8636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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