| Mke Consulting, Llc | |
|
1204 Vendome Dr W Mobile AL 36609-3326 | |
| (251) 459-4201 | |
| Not Available |
| Full Name | Mke Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1204 Vendome Dr W, Mobile, Alabama |
| Authorized Official Name and Position | Mary Katherine Sullivan (OWNER) |
| Authorized Official Contact | 2514594201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mke Consulting, Llc 1204 Vendome Dr W Mobile AL 36609-3326 Ph: () - | Mke Consulting, Llc 1204 Vendome Dr W Mobile AL 36609-3326 Ph: (251) 459-4201 |
| NPI Number | 1023850856 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Medicare PECOS PAC ID | 6507302742 |
|---|---|
| Medicare Enrollment ID | O20240723004548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023850856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Katherine Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881267540 PECOS PAC ID: 7315483559 Enrollment ID: I20240723004694 |
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