MRS. RENEE L SULLIVAN (NPI# 1205042850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205042850 |
| Entity Type | Individual |
| Full Name | MRS. RENEE L SULLIVAN |
| Credential | MFT |
| Practice Address |
153 Marcar Rd Macon GA 31216-5929 |
| Practice Telephone | 4787181306 |
| Mailing Telephone | 4787181306 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710321419 | Renee Michelle Sullivan | Clinical Nurse Specialist | 1506 W 46th Ave, Kennewick, WA 99337-3935 | 2013-04-24 |
| 1831602317 | Renee Sullivan | Counselor | 1401 W 2nd St Unit 1, Gillette, WY 82716-3334 | 2017-11-07 |
| 1750562070 | Renee R Sullivan | Developmental Therapist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2007-11-15 |
| 1922214493 | Renee Marie Sullivan | Internal Medicine | One Hospital Drive, Columbia, MO 65201-0001 | 2007-05-14 |
| 1366472722 | Renee R Sullivan | Nurse Practitioner | 600 E Francis St, Suite 3, North Platte, NE 69101-6796 | 2006-07-03 |
| Street Address |
153 MARCAR RD |
| City | MACON |
| State | GA |
| Zip Code | 31216-5929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125282 | Georgia Treatment Services | Clinic/Center | 6132 Hawkinsvill Road, Macon, GA 31216 | 2019-07-02 |
| 1720495898 | Erma Wells Heard | Nurse Practitioner | 217 Pendleton Ct., Macon, GA 31216 | 2014-07-21 |
| 1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
| 1295980456 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4585 Hartley Bridge Rd., Macon, GA 31216 | 2008-12-01 |
| 1013083336 | Rutland Medical Supply | Durable Medical Equipment & Medical Supplies | 3035 Hartley Bridge Road, Suite 2, Macon, GA 31216 | 2006-11-28 |
| 1477074318 | Hollie K Bradley | Nurse Practitioner | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2017-06-30 |
| 1104206713 | Hartley Bridge Family Dentistry | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2015-06-09 |
| 1144432048 | Family Specialty Care LLC | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2007-05-04 |
| 1164598710 | Kirsten J Hampton | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| 1063588614 | Cameka N Scarborough | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| Find all providers in zip 31216 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448681 | Alicia Roberts | Marriage & Family Therapist | 2607 Vineville Ave Ste 101, Macon, GA 31204-0900 | 2019-10-14 |
| 1184271561 | Kathlyn Wohlrabe | Marriage & Family Therapist | 3780 Bloomfield Village Dr Ste 1, Macon, GA 31206-0806 | 2019-08-21 |
| 1710487269 | Blue Cedar Counseling | Marriage & Family Therapist | 3263 Vineville Ave, Macon, GA 31204-2343 | 2018-02-20 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1316222946 | Gerri A Robbins | Marriage & Family Therapist | 577 Mulberry St, Suite 1000, Macon, GA 31201-2728 | 2011-10-14 |
| 1699099572 | Martha Harrell Fennell | Marriage & Family Therapist | 265 Orange St, Macon, GA 31201-1646 | 2010-03-21 |
| 1104061548 | Mary Elizabeth Key | Marriage & Family Therapist | 577 Mulberry St Ste 1000, Macon, GA 31201-8225 | 2008-12-15 |
| 1275778631 | Gerald P Allums | Marriage & Family Therapist | 277 Martin Luther King Jr Blvd Ste 203, Macon, GA 31201-3498 | 2008-12-12 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1659589356 | Cesar A Dumelod | Marriage & Family Therapist | 310 Ashville Ct, Macon, GA 31210-1669 | 2007-05-18 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.