| Martha L Sullins Dmin Lpc Pc | |
|
2200 S Cody Rd Mobile AL 36695 | |
| (251) 633-2122 | |
| (251) 633-3412 |
| Full Name | Martha L Sullins Dmin Lpc Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2200 S Cody Rd, Mobile, Alabama |
| Authorized Official Name and Position | Martha L Sullins (PRESIDENT) |
| Authorized Official Contact | 2516332122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha L Sullins Dmin Lpc Pc 2200 S Cody Rd Mobile AL 36695 Ph: (251) 633-2122 | Martha L Sullins Dmin Lpc Pc 2200 S Cody Rd Mobile AL 36695 Ph: (251) 633-2122 |
| NPI Number | 1780856203 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780856203 | NPI | - | NPPES |
| 51500773SUL | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1505 (Alabama) | Primary |
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