Ms Mary Irene Sullivan, LPCC LPC is a
Counselor - Professional based in Bellflower, Missouri. Ms Mary Irene Sullivan is licensed to practice in Missouri (license number 2021009968) and her current practice location is
11 Mabry Rd, Bellflower, Missouri. She can be reached at her office (for appointments etc.) via phone at
(715) 426-9877.
NPI number for Ms Mary Irene Sullivan is 1295978153 and her current mailing address is 11 Mabry Rd, Bellflower, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295978153.
Healthcare Provider's Profile
Full Name | Ms Mary Irene Sullivan |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 11 Mabry Rd, Bellflower, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295978153
- Provider Enumeration Date: 04/08/2009
- Last Update Date: 06/19/2023
Medical Identifiers
Medical identifiers for Ms Mary Irene Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295978153 | NPI | - | NPPES |
2021009968 | Other | MO | LICENSED PROFESSIONAL COUNSELOR |
CC00181 | Other | MN | STATE OF MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 00181 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | 2021009968 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Irene Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Mary Irene Sullivan, LPCC LPC 11 Mabry Rd, Bellflower, MO 63333-2303 Ph: (715) 426-8777 | Ms Mary Irene Sullivan, LPCC LPC 11 Mabry Rd, Bellflower, MO 63333-2303 Ph: (715) 426-9877 |
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