| Psychology And Wellness By Sullivan Consulting, Llc | |
|
1401 Sawgrass Corporate Pkwy # 107 Sunrise FL 33323-2888 | |
| (954) 253-2584 | |
| Not Available |
| Full Name | Psychology And Wellness By Sullivan Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1401 Sawgrass Corporate Pkwy # 107, Sunrise, Florida |
| Authorized Official Name and Position | Diana P Sullivan (AMBR) |
| Authorized Official Contact | 9542532584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology And Wellness By Sullivan Consulting, Llc 1401 Sawgrass Corporate Pkwy # 107 Sunrise FL 33323-2888 Ph: (954) 253-2584 | Psychology And Wellness By Sullivan Consulting, Llc 1401 Sawgrass Corporate Pkwy # 107 Sunrise FL 33323-2888 Ph: (954) 253-2584 |
| NPI Number | 1023882404 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023882404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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