Mark L Sullivan, LPC | |
1015 Lanton Rd, West Plains, MO 65775-3854 | |
(417) 256-2570 | |
Not Available |
Full Name | Mark L Sullivan |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1015 Lanton Rd, West Plains, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295260347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Family Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127 |
Mailing Address | Practice Location Address |
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Mark L Sullivan, LPC 1015 Lanton Rd, West Plains, MO 65775-3854 Ph: () - | Mark L Sullivan, LPC 1015 Lanton Rd, West Plains, MO 65775-3854 Ph: (417) 256-2570 |
Jenna Hampton, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-257-6762 | |
Mrs. Jeannie Rhoads-ashley, CCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 Fax: 417-256-6497 | |
Cretia Lynne Ussery, QMHP RADC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-257-9152 | |
Rebecca Kay Beville, MA, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-257-6762 | |
Kendell Pellham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 | |
Tabatha Diane Wade, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8703 | |
Mrs. Wendra L Dunkin, CSAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 Fax: 417-256-6497 |