Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Gruer Sullivan, LMHC, MCAP

Individual provider Counselor · NPI 1063791747

Michael Gruer Sullivan, LMHC, MCAP is a Counselor in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
4
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

2024 N Crystal Lake Dr Ste 200 Rm 205
Lakeland, FL 33801-6015
Phone: (863) 410-2095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH15284 (FL)
Counselor Taxonomy 101Y00000X · Licence MH15284 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence MH15284 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence MH15284 (FL)

Record details

NPI number1063791747
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC , MCAP
Sole proprietorNo
NPI enumeratedAugust 11, 2011
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020

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