Provider Demographics
NPI:1427281955
Name:LAND, SUMMER LYNNE (LPC-SUPERVISOR)
Entity type:Individual
Prefix:MRS
First Name:SUMMER
Middle Name:LYNNE
Last Name:LAND
Suffix:
Gender:F
Credentials:LPC-SUPERVISOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 GILLESPIE RD
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-9018
Mailing Address - Country:US
Mailing Address - Phone:214-912-5538
Mailing Address - Fax:972-516-5768
Practice Address - Street 1:1506 N GREENVILLE AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-8622
Practice Address - Country:US
Practice Address - Phone:214-912-5538
Practice Address - Fax:972-516-5768
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19035101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional