| Sullivan, Lemay & Associates Behavioral Health & Wellness Llc | |
|
97 South St Ste 105 West Hartford CT 06110-1964 | |
| (860) 461-0504 | |
| Not Available |
| Full Name | Sullivan, Lemay & Associates Behavioral Health & Wellness Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 97 South St Ste 105, West Hartford, Connecticut |
| Authorized Official Name and Position | Melinda Sullivan (OWNER) |
| Authorized Official Contact | 8605596922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan, Lemay & Associates Behavioral Health & Wellness Llc 97 South St Ste 105 West Hartford CT 06110-1964 Ph: (860) 461-0504 | Sullivan, Lemay & Associates Behavioral Health & Wellness Llc 97 South St Ste 105 West Hartford CT 06110-1964 Ph: (860) 461-0504 |
| NPI Number | 1427642008 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Medicare PECOS PAC ID | 5092103986 |
|---|---|
| Medicare Enrollment ID | O20211026001939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427642008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Melinda J Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295925485 PECOS PAC ID: 7618063710 Enrollment ID: I20071022000160 |
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