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Organization

SUMMIT THERAPY LLC

Active
Parent organization
SUMMIT THERAPY LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMIT THERAPY LLC
Authorized official
CARRIE L MINIARD LCSW (OWNER)
(907) 978-1943
Entity
Organization

Contact information

Practice address
3768 GRAY FOX DR, CLARKSVILLE, TN 37040-6236
(907) 978-1943
Mailing address
700 SLEATER KINNEY RD SE STE B189, LACEY, WA 98503-1150
(907) 978-1943

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/11/2025
Last updated
08/11/2025
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