| Mark L Sullivan, LPC | |
|
1015 Lanton Rd, West Plains, MO 65775-3854 | |
| (417) 256-2570 | |
| Not Available |
| Full Name | Mark L Sullivan |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 1015 Lanton Rd, West Plains, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295260347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Counseling Center Inc | 2163410481 | 40 |
| Entity Name | Family Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127 |
| Entity Name | Caliber Counseling & Training Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558122119 PECOS PAC ID: 8527503531 Enrollment ID: O20240715002597 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L Sullivan, LPC 1015 Lanton Rd, West Plains, MO 65775-3854 Ph: () - | Mark L Sullivan, LPC 1015 Lanton Rd, West Plains, MO 65775-3854 Ph: (417) 256-2570 |
Johnathan Mcclure, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 | |
Zachary Nelson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 Washington Ave, West Plains, MO 65775 Phone: 417-274-0469 Fax: 417-503-1442 | |
Jenna Hampton, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-257-6762 | |
Mrs. Jeannie Rhoads-ashley, CCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 Fax: 417-256-6497 | |
Cretia Lynne Ussery, QMHP RADC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-257-9152 | |
Randy Gene Clark Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1639 Bruce Smith Pkwy, West Plains, MO 65775 Phone: 417-308-0671 | |
Rebecca Jo Nicholson, MS, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-372-4660 |