MS. Mary Irene Sullivan, LPCCLPC
MS. Mary Irene Sullivan, LPCCLPC is a Mental Health Counselor in Bellflower, Missouri. Qualified in 1989, 37 years ago. Practices with Encounter Telehealth Inc, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Missouri.
- Years since qualifying
- 37
- Licensed in
- MN, MO
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
11 Mabry RdBellflower, MO 63333-2303
Phone: (715) 426-9877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 2021009968 (MO) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 00181 (MN) |
Record details
| NPI number | 1295978153 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPCCLPC |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2009 |
| Last updated in NPPES | June 19, 2023 |
| Certification date | June 19, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 1989 (37 years in practice) |
| Group practice | Encounter Telehealth Inc — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |