Provider Demographics
NPI:1386764991
Name:KING, SUMMER D (LPC, LADCMH)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:D
Last Name:KING
Suffix:
Gender:F
Credentials:LPC, LADCMH
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:D
Other - Last Name:HASTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6100 S WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-7026
Mailing Address - Country:US
Mailing Address - Phone:405-634-4400
Mailing Address - Fax:405-632-1976
Practice Address - Street 1:6100 S WALKER AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-7026
Practice Address - Country:US
Practice Address - Phone:405-634-4400
Practice Address - Fax:405-632-1976
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health