| Sullivan Counseling Group Llc | |
|
10311 Dawsons Creek Blvd Suite E Fort Wayne IN 46825-1913 | |
| (260) 451-2500 | |
| (260) 451-2501 |
| Full Name | Sullivan Counseling Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 10311 Dawsons Creek Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Julia Oleary (OWNER) |
| Authorized Official Contact | 2604512500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Counseling Group Llc 10311 Dawson Creek Blvd Suite E Fort Wayne IN 46825 Ph: (260) 451-2500 | Sullivan Counseling Group Llc 10311 Dawsons Creek Blvd Suite E Fort Wayne IN 46825-1913 Ph: (260) 451-2500 |
| NPI Number | 1528431079 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528431079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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