Provider Demographics
NPI:1962748814
Name:SUMMER KATZ, LMHC, LLC
Entity type:Organization
Organization Name:SUMMER KATZ, LMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-733-2110
Mailing Address - Street 1:452 OSCEOLA ST
Mailing Address - Street 2:SUITE 113
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7817
Mailing Address - Country:US
Mailing Address - Phone:407-733-2110
Mailing Address - Fax:
Practice Address - Street 1:452 OSCEOLA ST
Practice Address - Street 2:SUITE 113
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7817
Practice Address - Country:US
Practice Address - Phone:407-733-2110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-21
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 11223101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty