Provider Demographics
NPI:1053932251
Name:SUMMITSTONE HEALTH PARTNERS
Entity type:Organization
Organization Name:SUMMITSTONE HEALTH PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DODDS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:970-494-4200
Mailing Address - Street 1:4856 INNOVATION DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5539
Mailing Address - Country:US
Mailing Address - Phone:970-494-4200
Mailing Address - Fax:844-270-1824
Practice Address - Street 1:2001 S SHIELDS ST STE G
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1834
Practice Address - Country:US
Practice Address - Phone:970-494-4200
Practice Address - Fax:970-493-4382
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMITSTONE HEALTH PARTNERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-29
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder