Mr David Sullivan, LLPC, CADC | |
6728 Vining Rd, Greenville, MI 48838-9784 | |
(616) 225-8220 | |
(616) 225-8226 |
Full Name | Mr David Sullivan |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 6728 Vining Rd, Greenville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558790501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2-01083 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401013968 (Michigan) | Primary |
Entity Name | Stellar Clinic Ct Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609641042 PECOS PAC ID: 0840633368 Enrollment ID: O20240321001464 |
Mailing Address | Practice Location Address |
---|---|
Mr David Sullivan, LLPC, CADC 6728 Vining Rd, Greenville, MI 48838-9784 Ph: (616) 225-8220 | Mr David Sullivan, LLPC, CADC 6728 Vining Rd, Greenville, MI 48838-9784 Ph: (616) 225-8220 |
Danielle Hancock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6756 S Greenville Rd, Greenville, MI 48838 Phone: 616-862-1814 | |
Nicole Fox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 S Nelson St, Greenville, MI 48838 Phone: 989-831-7520 | |
Mrs. Wendy E Baty, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6728 Vining Rd, Greenville, MI 48838 Phone: 616-225-8220 Fax: 616-225-8226 | |
Mr. Charles Mitchell Hill, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6728 Vining Rd, Greenville, MI 48838 Phone: 616-225-8220 Fax: 616-225-8226 | |
Kimberly Ann Brown, MA,LPC,CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 S Nelson St, Greenville, MI 48838 Phone: 616-754-9420 Fax: 616-754-9419 | |
Amanda Jo Peterson, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6728 Vining Rd, Greenville, MI 48838 Phone: 616-225-8220 Fax: 616-225-8226 | |
Taryn I Sinclaire, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 108 N Lafayette St Ste D, Greenville, MI 48838 Phone: 616-200-4030 |