| Leo Sullivan Mental Health Counselor P.c. | |
|
100 Duffy Ave Hicksville NY 11801-3636 | |
| (516) 428-9881 | |
| Not Available |
| Full Name | Leo Sullivan Mental Health Counselor P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Duffy Ave, Hicksville, New York |
| Authorized Official Name and Position | Leo Sullivan (SPORTS AND MENTAL PERFORMANCE COUNS) |
| Authorized Official Contact | 5164289881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Sullivan Mental Health Counselor P.c. 19 Caroline Ct North Babylon NY 11703-1823 Ph: (516) 428-9881 | Leo Sullivan Mental Health Counselor P.c. 100 Duffy Ave Hicksville NY 11801-3636 Ph: (516) 428-9881 |
| NPI Number | 1740082981 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 08/04/2025 |
| Certification Date | 08/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740082981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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