Melanie F Sullivan, LMFT is a
Marriage & Family Therapist based in Shelley, Idaho. Melanie F Sullivan is licensed to practice in Idaho (license number 4156) and her current practice location is
697 N 900 E, Shelley, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 604-6019.
NPI number for Melanie F Sullivan is 1336221605 and her current mailing address is 697 N 900 E, Shelley, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336221605.
Healthcare Provider's Profile
| Full Name | Melanie F Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 697 N 900 E, Shelley, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336221605
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 09/30/2010
Medical Identifiers
Medical identifiers for Melanie F Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336221605 | NPI | - | NPPES |
| 6105145 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 4156 (Idaho) | 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. Melanie F 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 Address | Practice Location Address |
|---|
Melanie F Sullivan, LMFT
697 N 900 E,
Shelley, ID 83274-5208
Ph: (208) 604-6019 | Melanie F Sullivan, LMFT
697 N 900 E,
Shelley, ID 83274-5208
Ph: (208) 604-6019 |
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