# SUMMIT BEHAVIORAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Behavioral Health, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497370258
- **Authorized official:** MISTY MCGILLEM DNP (MANAGING MEMBER)
- **Authorized official phone:** (520) 468-9844

## Contact information

- **Practice address:** 8230 E BROADWAY BLVD STE E7, TUCSON, AZ 85710-4002
- **Practice address phone:** (520) 468-9844
- **Mailing address:** 8110 S HOUGHTON RD, STE 158 PMB 136, TUCSON, AZ 85747
- **Mailing address phone:** (520) 468-9844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2020
- **Last updated:** 03/14/2024
