Organization
MARTHA L SULLINS DMIN LPC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA L SULLINS (PRESIDENT)
(251) 633-2122
Entity
Organization
Contact information
Practice address
2200 S CODY RD, MOBILE, AL 36695
(251) 633-2122
(251) 633-3412
Mailing address
2200 S CODY RD, MOBILE, AL 36695
(251) 633-2122
(251) 633-3412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1505
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51500773SUL
BLUE CROSS
—
Enumeration date
03/25/2008
Last updated
04/20/2008
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