MICHAEL SULLIVAN COUNSELING PC NPI 1568615128

NPI Information

NPI: 1568615128
Provider Name: MICHAEL SULLIVAN COUNSELING PC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
125 S 4TH ST
SUITE 217
NORFOLK, NE
ZIP 68701
Phone: (402) 750-7923
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MICHAEL SULLIVAN COUNSELING PC is a mental health counselor in Norfolk, NE. MICHAEL SULLIVAN COUNSELING PC NPI is 1568615128. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 S 4TH ST
SUITE 217
NORFOLK, NE
ZIP 68701-200
Phone: (402) 750-7923

The provider's authorized official is Michael Daniel Sullivan .
The authorized official title is President and has the following contact phone number (402) 750-7923.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 2/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1464	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04960128526	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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