# STEPHANIE SUMMERS LMFT, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164542270
- **Authorized official:** STEPHANIE ANN SUMMERS LMFT (OFFICER)
- **Authorized official phone:** (904) 268-9178

## Contact information

- **Practice address:** 12412 SAN JOSE BLVD, SUITE 102C, JACKSONVILLE, FL 32223-8621
- **Practice address phone:** (904) 268-9178
- **Mailing address:** 12412 SAN JOSE BLVD, SUITE 102C, JACKSONVILLE, FL 32223-8621
- **Mailing address phone:** (904) 268-9178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT2128 | FL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 03/11/2008