Organization
SUMMIT MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEA JOHNSON LCSW (OWNER)
(352) 638-6639
Entity
Organization
Contact information
Practice address
214 E WASHINGTON ST, SUITE A, MINNEOLA, FL 34715-9227
(356) 638-6639
(352) 243-0812
Mailing address
214 E WASHINGTON ST, SUITE A, MINNEOLA, FL 34715-9227
(356) 638-6639
(352) 243-0812
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW6891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW6891
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
12/23/2015
Last updated
12/23/2015
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