| Melissa Sullivan, Licsw Pc | |
|
41 Taunton Grn Ste 204 Taunton MA 02780-3252 | |
| (508) 386-3077 | |
| Not Available |
| Full Name | Melissa Sullivan, Licsw Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 41 Taunton Grn Ste 204, Taunton, Massachusetts |
| Authorized Official Name and Position | Melissa Sullivan (OWNER) |
| Authorized Official Contact | 5089542472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Sullivan, Licsw Pc 1 Carma Ln Berkley MA 02779-1426 Ph: (508) 954-2472 | Melissa Sullivan, Licsw Pc 41 Taunton Grn Ste 204 Taunton MA 02780-3252 Ph: (508) 386-3077 |
| NPI Number | 1497644694 |
|---|---|
| Provider Enumeration Date | 07/01/2025 |
| Last Update Date | 07/01/2025 |
| Certification Date | 07/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497644694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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