Sullivan, Michael Robert

Sullivan, Michael Robert is an sole proprietor health care provider with primary practice located at 107 S Division St , Spokane WA 99202-1510. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Sullivan, Michael Robert can be contacted via phone (509) 838-4651.

Contact Information

Primary practice address
107 S Division St Spokane WA 99202-1510
Phone: (509) 838-4651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG60648868 Washington
Behavioral Health & Social Service Providers / Social Worker 104100000X SC61158375 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61234841 Washington
Behavioral Health & Social Service Providers / Social Worker 104100000X LW61234841 Washington

Profile Details

NPI number 1003288796
LBN Legal business name Sullivan, Michael Robert
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2015
Last updated Apr 22nd, 2022 - about 4 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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