| Sullivan Counseling Services, Llc | |
|
1202 Office Park Dr. Suite A Oxford MS 38655 | |
| (662) 801-6940 | |
| (662) 234-3535 |
| Full Name | Sullivan Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1202 Office Park Dr., Oxford, Mississippi |
| Authorized Official Name and Position | Sally Sullivan (OWNER) |
| Authorized Official Contact | 6628016940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Counseling Services, Llc 1202 Office Park Dr. Suite A Oxford MS 38655 Ph: (662) 801-6940 | Sullivan Counseling Services, Llc 1202 Office Park Dr. Suite A Oxford MS 38655 Ph: (662) 801-6940 |
| NPI Number | 1295129815 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 03/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295129815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Mississippi) | Primary |
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