| Sarah Sullivan, LCMHC, NCC | |
|
10430 Harris Oak Blvd Ste L, Charlotte, NC 28269-7513 | |
| (704) 360-3637 | |
| (704) 200-9829 |
| Full Name | Sarah Sullivan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 10430 Harris Oak Blvd Ste L, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730721002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 15274 (North Carolina) | Primary |
| Entity Name | Integrative Wellness Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447760871 PECOS PAC ID: 8022341494 Enrollment ID: O20190618000993 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Sullivan, LCMHC, NCC 122 Gateway Blvd Ste C, Mooresville, NC 28117-5544 Ph: (704) 360-3637 | Sarah Sullivan, LCMHC, NCC 10430 Harris Oak Blvd Ste L, Charlotte, NC 28269-7513 Ph: (704) 360-3637 |
Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100 | |
Allegra Shonta Cooper, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 460, Charlotte, NC 28210 Phone: 980-302-8611 Fax: 980-302-8624 | |
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765 | |
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085 | |
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127 | |
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301 | |
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921 |