Stacey Sullivan, - Counselor in Vaughn, MT

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Stacey Sullivan, is a Counselor - Mental Health based in Vaughn, Montana. Stacey Sullivan is licensed to practice in * (Not Available) (license number ) and her current practice location is 480 Central Ave, Vaughn, Montana. She can be reached at her office (for appointments etc.) via phone at (406) 750-8214.

NPI number for Stacey Sullivan is 1316755994 and her current mailing address is 5316 4th Ave S, Great Falls, Montana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316755994.

Contact Information

Stacey Sullivan,
480 Central Ave,
Vaughn, MT 59487-9716
(406) 750-8214
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameStacey Sullivan
GenderFemale
SpecialityCounselor - Mental Health
Location480 Central Ave, Vaughn, Montana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316755994
  • Provider Enumeration Date: 12/27/2024
  • Last Update Date: 12/27/2024

Medical Identifiers

Medical identifiers for Stacey Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316755994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))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. Stacey 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
Stacey Sullivan,
5316 4th Ave S,
Great Falls, MT 59405-3912

Ph: (406) 750-8214		Stacey Sullivan,
480 Central Ave,
Vaughn, MT 59487-9716

Ph: (406) 750-8214

Reviews and Comments


Counselor in Vaughn, MT


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