Organization
SUMMIT COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TAYLOR LPC (OWNER)
(423) 946-1659
Entity
Organization
Contact information
Practice address
4132 BRISTOL HWY STE 5, JOHNSON CITY, TN 37601-3162
(423) 946-1659
(423) 283-4958
Mailing address
161 1/2 YOUNG RD, JOHNSON CITY, TN 37604-3301
(423) 946-1659
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3948
TN
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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