Sullivan, Marisa
Sullivan, Marisa is an individual health care provider with primary practice located at 3325 N Arlington Heights Rd Suite 400B, Arlington Heights IL 60004-1582. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Sullivan, Marisa can be contacted via phone (847) 749-0514.Contact Information
Primary practice address
3325 N Arlington Heights Rd Suite 400B
Arlington Heights IL 60004-1582
Phone: (847) 749-0514
Fax: (847) 749-2995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 180007151 | Illinois |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180007151 | Illinois |
Profile Details
| NPI number | 1609232701 |
|---|---|
| LBN Legal business name | Sullivan, Marisa |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2016 |
| Last updated | Jan 6th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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