Organization
MICHAEL SULLIVAN COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DANIEL SULLIVAN LCSW, CCGC (PRESIDENT)
(402) 750-7923
Entity
Organization
Contact information
Practice address
110 N 37TH ST STE 301, NORFOLK, NE 68701-3283
(402) 750-7923
Mailing address
110 N 37TH ST STE 301, NORFOLK, NE 68701-3283
(402) 750-7923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1464
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026181901
—
NE
Enumeration date
10/28/2008
Last updated
10/13/2023
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