| Accessible Dbt, Inc. | |
|
9008 Elk Grove Blvd Ste 20 Elk Grove CA 95624-1945 | |
| (916) 709-1648 | |
| (916) 688-3997 |
| Full Name | Accessible Dbt, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 9008 Elk Grove Blvd Ste 20, Elk Grove, California |
| Authorized Official Name and Position | Kimberly Ann Sullivan (DIRECTOR) |
| Authorized Official Contact | 9167091648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accessible Dbt, Inc. 9008 Elk Grove Blvd Ste 20 Elk Grove CA 95624-1945 Ph: (916) 709-1648 | Accessible Dbt, Inc. 9008 Elk Grove Blvd Ste 20 Elk Grove CA 95624-1945 Ph: (916) 709-1648 |
| NPI Number | 1336793405 |
|---|---|
| Provider Enumeration Date | 07/27/2019 |
| Last Update Date | 04/13/2020 |
| Certification Date | 04/13/2020 |
| Medicare PECOS PAC ID | 2668819483 |
|---|---|
| Medicare Enrollment ID | O20240328000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336793405 | NPI | - | NPPES |
| Provider Name | Kimberly Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225275746 PECOS PAC ID: 9830536655 Enrollment ID: I20240328000633 |
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