| Organization Name: | SUMMIT HEALTH ASSOCIATES, LLC |
| NPI Number: | 1164670626 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH E BELL (OWNER) |
| Mailing Address: | 405 W Boxelder Rd Ste A1 Gillette |
| State: | WY US |
| Postal Code: | 827185320 |
| Phone Number: | 3076867779 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2008 |
| NPI Last Update Date: | 09/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 299 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |