| Mari Sullivan Walker Inc | |
| Rt#10 Main Street Pineville WV 24874-0123 | |
| (304) 732-9132 | |
| (304) 732-6589 | 
| Full Name | Mari Sullivan Walker Inc | 
|---|---|
| Speciality | Psychologist - Counseling | 
| Location | Rt#10 Main Street, Pineville, West Virginia | 
| Authorized Official Name and Position | Mari Sullivan Walker (CEO) | 
| Authorized Official Contact | 3047329132 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mari Sullivan Walker Inc Rt#10 Main Street P.o. Box 123 Pineville WV 24874-0123 Ph: (304) 732-9132 | Mari Sullivan Walker Inc Rt#10 Main Street Pineville WV 24874-0123 Ph: (304) 732-9132 | 
| NPI Number | 1619073343 | 
|---|---|
| Provider Enumeration Date | 09/16/2006 | 
| Last Update Date | 09/11/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619073343 | NPI | - | NPPES | 
| LICENSE # 203 | Other | WV | PSYCHOLOGIST LICENSE | 
| 0165341000 | Medicaid | WV | 
| Lantern Mental Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 438 R 10, Pineville, WV 24874 Phone: 304-732-0071 Fax: 304-732-0070 |