Provider Demographics
NPI:1871143651
Name:SUMMIT COUNSELING AND WELLNESS, LLC
Entity type:Organization
Organization Name:SUMMIT COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-379-0995
Mailing Address - Street 1:7524 TURNER RD
Mailing Address - Street 2:
Mailing Address - City:DORA
Mailing Address - State:AL
Mailing Address - Zip Code:35062-2215
Mailing Address - Country:US
Mailing Address - Phone:205-379-0995
Mailing Address - Fax:
Practice Address - Street 1:400 VESTAVIA PKWY STE 406
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-3763
Practice Address - Country:US
Practice Address - Phone:205-379-0995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health