| NPI | 1215572649 |
|---|---|
| Other Name | SUMMIT PSYCHOTHERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | ERICH H HEINTZEN Psychotherapist 773-612-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2021-09-23 |