Provider Demographics
NPI:1225862303
Name:SUMMIT SOLSTICE COUNSELING LLC
Entity type:Organization
Organization Name:SUMMIT SOLSTICE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, DSW
Authorized Official - Phone:509-941-7585
Mailing Address - Street 1:402 E YAKIMA AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-5410
Mailing Address - Country:US
Mailing Address - Phone:509-941-7585
Mailing Address - Fax:509-457-2756
Practice Address - Street 1:402 E YAKIMA AVE STE 800
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-5410
Practice Address - Country:US
Practice Address - Phone:509-941-7585
Practice Address - Fax:509-457-2756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty