Michael Gruer Sullivan, LMHC, MCAP - Counselor in Lakeland, FL

Michael Gruer Sullivan, LMHC, MCAP is a Counselor - Mental Health based in Lakeland, Florida. Michael Gruer Sullivan is licensed to practice in Florida (license number MH15284) and his current practice location is 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, Florida. He can be reached at his office (for appointments etc.) via phone at (863) 410-2095.

NPI number for Michael Gruer Sullivan is 1063791747 and his current mailing address is 503 Granby St, Lakeland, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063791747.

Contact Information

Michael Gruer Sullivan, LMHC, MCAP
2024 N. Crystal Lake Dr., Suite 200 Room 205,
Lakeland, FL 33801-6015
(863) 410-2095
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMichael Gruer Sullivan
GenderMale
SpecialityCounselor - Mental Health
Location2024 N. Crystal Lake Dr., Lakeland, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063791747
  • Provider Enumeration Date: 08/11/2011
  • Last Update Date: 04/27/2020

Medical Identifiers

Medical identifiers for Michael Gruer Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063791747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor MH15284 (Florida)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) MH15284 (Florida)Secondary
101YP2500XCounselor - Professional MH15284 (Florida)Secondary
101YM0800XCounselor - Mental Health MH15284 (Florida)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. Michael Gruer 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 AddressPractice Location Address
Michael Gruer Sullivan, LMHC, MCAP
503 Granby St,
Lakeland, FL 33801-6015

Ph: (863) 838-9437
Michael Gruer Sullivan, LMHC, MCAP
2024 N. Crystal Lake Dr., Suite 200 Room 205,
Lakeland, FL 33801-6015

Ph: (863) 410-2095

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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