Individual provider · Type 1 NPI

Elizabeth Summer Wigle

Mental Health Counselor · South Daytona, FL

NPI number 1376013680 Active

Practice location

2400 S Ridgewood Ave Ste 32
South Daytona, FL 32119-3073

Mailing address

44 Bluebird Ln
Ormond Beach, FL 32174-4203

Other practice locations

  • 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 · (863) 494-1242

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH19802 (FL)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1376013680

Elizabeth Summer Wigle's National Provider Identifier is 1376013680, issued on Nov 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Daytona, FL. The record was last updated on Aug 21, 2025.