Sullivan, Renee L

Sullivan, Renee L is an individual health care provider with primary practice located at 153 Marcar Rd , Macon GA 31216-5929. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Sullivan, Renee L can be contacted via phone (478) 718-1306.

Contact Information

Primary practice address
153 Marcar Rd Macon GA 31216-5929
Phone: (478) 718-1306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1205042850
LBN Legal business name Sullivan, Renee L
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 19 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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