Olivia Sullivan, | |
3011 N Michigan St, Pittsburg, KS 66762-2546 | |
(620) 231-9873 | |
(620) 231-5062 |
Full Name | Olivia Sullivan |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3011 N Michigan St, Pittsburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710692678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 03215 (Kansas) | Secondary |
101YP2500X | Counselor - Professional | 04351 (Kansas) | Primary |
Entity Name | Community Health Center Of Southeast Kansas Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
Mailing Address | Practice Location Address |
---|---|
Olivia Sullivan, Po Box 1832, Pittsburg, KS 66762-1832 Ph: (620) 240-5668 | Olivia Sullivan, 3011 N Michigan St, Pittsburg, KS 66762-2546 Ph: (620) 231-9873 |
Mr. Brad Clinton Parks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 824 E 4th St, Pittsburg, KS 66762 Phone: 620-704-5277 | |
Terri Shelton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1102 S Rouse St, Pittsburg, KS 66762 Phone: 620-231-5310 | |
Tammy Sue Hambric, Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-231-5130 | |
Ms. Patrica Neeland, LSCSW Counselor Medicare: Medicare Enrolled Practice Location: 3101 N Michigan St Ste C, Pittsburg, KS 66762 Phone: 620-231-1069 Fax: 620-231-2997 | |
Cecelia Theresa Schmitz, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1800 E 4th St, Pittsburg, KS 66762 Phone: 620-231-2700 Fax: 620-231-0184 | |
Mrs. Rhonda Michelle Marrone, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3101 N Michigan St Ste C, Pittsburg, KS 66762 Phone: 620-231-1069 Fax: 620-231-2997 | |
Vernetta Collins, AAPS COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 E Atkinson Ave, Pittsburg, KS 66762 Phone: 620-235-7180 |