Summit County Program is a Counselor Clinic in Park City, Utah. It is located at 1753 Sidewinder Dr, Suite S200, Park City, UT and its contact number is 435-649-9079. The authorized person for Summit County Program is Ms. Debra Falvo
who is Executive Director of the clinic and his/her contact number is 801-263-7100. Summit County Program Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Summit County Program Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Summit County Program
Specialization:
Professional Counselor
Clinic Address:
1753 Sidewinder Dr, Suite S200, Park City, Utah, 84060-7258
Phone:
435-649-9079
Fax:
435-649-2157
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Debra Falvo
Position:
Executive Director
Contact Number:
801-263-7100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Summit County Program clinic are as mentioned below.
NPI Number:
1295791721
NPI Enumeration Date:
24 Apr, 2006
NPI Last Update On:
25 Aug, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Summit County Program are as mentioned below.
Specialization
License Number
State
Status
Psychiatry
Utah
Primary
Professional
Utah
Secondary
Clinical
Utah
Secondary
Clinical
Utah
Secondary
Marriage & Family Therapist
Utah
Secondary
Psych/Mental Health
Utah
Secondary
Psych/Mental Health
Utah
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2423
Other
Utah
Pehp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Summit County Program 5965 S 900 E, Suite 420 Salt Lake City, Utah
Zip:
84121-1720
Phone Number:
801-263-7100
Fax Number:
801-263-7123
Patients can reach Summit County Program at 1753 Sidewinder Dr, Suite S200, Park City, Utah or can call to book an appointment on 435-649-9079. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.