| Sullivan Counseling Services Llc | |
|
570 N State St Ste 220c Westerville OH 43082-8086 | |
| (614) 696-8400 | |
| (614) 362-9909 |
| Full Name | Sullivan Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 570 N State St Ste 220c, Westerville, Ohio |
| Authorized Official Name and Position | Pam Reed (BUSINESS MANAGER) |
| Authorized Official Contact | 6146968400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Counseling Services Llc 570 N State St Ste 220c Westerville OH 43082-8086 Ph: (614) 696-8400 | Sullivan Counseling Services Llc 570 N State St Ste 220c Westerville OH 43082-8086 Ph: (614) 696-8400 |
| NPI Number | 1942063136 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942063136 | NPI | - | NPPES |
| 0041581 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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