MICHELLE SULLIVAN (NPI# 1912120247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912120247 |
| Entity Type | Individual |
| Full Name | MICHELLE SULLIVAN |
| Credential | LMFT |
| Practice Address |
221 W 26th St Newton NC 28658-2821 |
| Mailing Address |
200 E 2nd Ave Gastonia NC 28052-4358 |
| Practice Telephone | 7044642631 |
| Practice Fax Number | 7044645598 |
| Mailing Fax Number | 7048647608 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1177 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 306 W I St, Newton, NC 286583534 | 7044644061 | 7044647528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1164900791 | Michelle Lori Sullivan | Advanced Practice Midwife | 1717 Dusty Boot Dr, Lafayette, CO 80026-1409 | 2018-08-06 |
| 1851726350 | Michelle Sullivan | Behavioral Analyst | 22 Wampatuck Ave, Scituate, MA 02066-2930 | 2013-09-04 |
| 1649613241 | Michelle Louise Sullivan | Licensed Practical Nurse | 2167 Danby Rd, Willseyville, NY 13864-1004 | 2013-04-12 |
| 1003040858 | Michelle Yvette Sullivan | Specialist | 288 Atchison St, Pasadena, CA 91104-1002 | 2009-05-08 |
| 1225207376 | Michelle Sullivan | Speech-Language Pathologist | 902 Lillieshall Rd, Waxhaw, NC 28173-6673 | 2008-02-22 |
| 1376727909 | Michelle Lyn Sullivan | Physical Therapist | 1023 Washington Ave, Portland, ME 04103-2793 | 2007-12-18 |
| 1023120730 | Michelle K Sullivan | Speech-Language Pathologist | 3769 Ny-417, Jasper, NY 14855 | 2006-08-31 |
| 1134110760 | Michelle P Sullivan | Social Worker | 4700 North Las Vegas Boulevard, Mike O'callaghan Federal Medical Center, Nellis Air Force Base, NV 89191-6601 | 2005-11-02 |
| 1235137894 | Michelle Lee Sullivan | Psychologist | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2005-07-08 |
| Street Address |
221 W 26TH ST |
| City | NEWTON |
| State | NC |
| Zip Code | 28658-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023598570 | Gaston Family Health Services, Inc. | Clinic/Center | 221 W 26th St, Newton, NC 28658-2821 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427024 | Healthstat Onsite Clinic Mccreary Modern Plant 4 | Preventive Medicine | 3483 Saint James Church Road, Newton, NC 28658 | 2020-04-29 |
| 1578977179 | Endeavors Pediatric Therapy Services, LLC | Occupational Therapist | Mt Olive Church Rd, Newton, NC 28658 | 2014-06-12 |
| 1033428289 | Homefirst Healthcare Services, LLC | Home Infusion | 805 W. 25th Street, Newton, NC 28658 | 2010-10-05 |
| 1184959330 | The Mental Health Fund Inc | Community Based Residential Treatment Facility, Mental Illness | 120b West D Street, Newton, NC 28658 | 2009-10-06 |
| 1003957531 | Lynn Isenhower Mullinax | Counselor | 22 South Main Avenue, Newton, NC 28658 | 2007-02-09 |
| 1588723852 | Frank Alan Younce | Occupational Therapist | 1897 Wellington Ave, Newton, NC 28658 | 2006-12-06 |
| 1164435798 | Janet Greer | Nurse Practitioner | 2564 Highway 321s, Newton, NC 28658 | 2006-08-14 |
| 1174566376 | Clifton Wade Pernell | Dentist | 430 West 20th Street, Newton, NC 28658 | 2006-06-14 |
| 1093777120 | Pendleton Glass Waldron | Dentist | 430 West 20th St, Newton, NC 28658 | 2006-04-04 |
| 1336144377 | Elizabeth M Owens | Physician Assistant | 3975 Robinson Rd, Newton, NC 28658 | 2005-06-16 |
| Find all providers in zip 28658 | ||||
| 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 |
|---|---|---|---|---|
| 1558849836 | Deanna Brace | Marriage & Family Therapist | 30 Moran Street, 2nd Floor, Newton, NJ 07860 | 2018-07-30 |
| 1578080412 | Tracy L Smith, LLC | Marriage & Family Therapist | 900 N Poplar St Ste 103, Newton, KS 67114-1968 | 2017-08-22 |
| 1194146373 | Elizabeth Ada Clement | Marriage & Family Therapist | 259 Waverley Ave, Newton, MA 02458-2451 | 2013-12-14 |
| 1386829075 | Karen S Edwards | Marriage & Family Therapist | 51 Westchester Rd, Newton, MA 02458-2519 | 2008-01-01 |
| 1952492803 | Faye A. Koop | Marriage & Family Therapist | 1800 N Spencer Rd, Newton, KS 67114-9481 | 2006-09-27 |
| 1588646087 | Marlene R Ewert | Marriage & Family Therapist | 414 N Main St Ste 220, Newton, KS 67114-2226 | 2005-11-18 |
| 1013522960 | Sara Kathryn Hall | Marriage & Family Therapist | 900 N Poplar St Ste 103, Newton, KS 67114-1968 | 2020-09-08 |
| 1891255212 | Laura Marie Stead | Marriage & Family Therapist | 1901 E 1st St, Newton, KS 67114-5010 | 2019-03-21 |
| 1275050908 | Katrina Zachary, LLC | Marriage & Family Therapist | 900 N Poplar St Ste 103, Newton, KS 67114-1968 | 2017-08-24 |
| 1720505456 | Katrina R Zachary | Marriage & Family Therapist | 900 N Poplar St Ste 103, Newton, KS 67114-1968 | 2017-08-24 |
| Find all providers in NEWTON | ||||
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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.