Individual
STACEY M SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAAT, ATR
Contact information
Practice address
6630 EMBASSY BLVD STE B, PORT RICHEY, FL 34668-4898
(813) 997-6103
Mailing address
6630 EMBASSY BLVD STE B, PORT RICHEY, FL 34668-4898
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/18/2025
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