Provider Demographics
NPI:1962218701
Name:SUMMIT COUNSELING LLC
Entity type:Organization
Organization Name:SUMMIT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:219-707-2887
Mailing Address - Street 1:229 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-2607
Mailing Address - Country:US
Mailing Address - Phone:219-476-6408
Mailing Address - Fax:
Practice Address - Street 1:501 ALLEN CT STE 223
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-0273
Practice Address - Country:US
Practice Address - Phone:219-707-2887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty