Mackenzie Marie Sullivan, MS, LMFT is a
Marriage & Family Therapist based in Arlington Heights, Illinois. Mackenzie Marie Sullivan is licensed to practice in Illinois (license number 166001461) and her current practice location is
176 N Arlington Heights Rd, Arlington Heights, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 324-4502.
NPI number for Mackenzie Marie Sullivan is 1093369928 and her current mailing address is 176 N Arlington Heights Rd, Arlington Heights, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093369928.
Healthcare Provider's Profile
Full Name | Mackenzie Marie Sullivan |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 176 N Arlington Heights Rd, Arlington Heights, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093369928
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 10/04/2021
Medical Identifiers
Medical identifiers for Mackenzie Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093369928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 208000725 (Illinois) | Secondary |
106H00000X | Marriage & Family Therapist | 166001461 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Marie Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mackenzie Marie Sullivan, MS, LMFT 176 N Arlington Heights Rd, Arlington Heights, IL 60004-6062 Ph: (773) 236-0030 | Mackenzie Marie Sullivan, MS, LMFT 176 N Arlington Heights Rd, Arlington Heights, IL 60004-6062 Ph: (312) 324-4502 |
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