Sullivan, Michael Gruer

Sullivan, Michael Gruer is an individual health care provider with primary practice located at 2024 N. Crystal Lake Dr. Suite 200 Room 205, Lakeland FL 33801-6015. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sullivan, Michael Gruer can be contacted via phone (863) 410-2095.

Contact Information

Primary practice address
2024 N. Crystal Lake Dr. Suite 200 Room 205 Lakeland FL 33801-6015
Phone: (863) 410-2095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH15284 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH15284 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH15284 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH15284 Florida

Profile Details

NPI number 1063791747
LBN Legal business name Sullivan, Michael Gruer
Credentials LMHC, MCAP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2011
Last updated Apr 27th, 2020 - about 6 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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