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Organization
SUMMIT BEHAVIORAL HEALTH PLLC
Active
Organization
SUMMIT BEHAVIORAL HEALTH PLLC
Active
Other names
Summit Behavioral Health, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY MCGILLEM DNP (MANAGING MEMBER)
(520) 468-9844
Entity
Organization
Contact information
Practice address
8230 E BROADWAY BLVD STE E7, TUCSON, AZ 85710-4002
(520) 468-9844
Mailing address
8110 S HOUGHTON RD, STE 158 PMB 136, TUCSON, AZ 85747
(520) 468-9844
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
03/14/2024
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