Sullivan Mental Health Services Llc

LBN: Sullivan Mental Health Services Llc
Sullivan Mental Health Services Llc is an health care organization with primary practice located at 660 S Woodruff Ave , Idaho Falls ID 83401-5299. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Sullivan Mental Health Services Llc can be contacted via phone (208) 523-1558, or through Sullivan, Jessie Elaine via phone (208) 523-1558.

Contact Information

Primary practice address
660 S Woodruff Ave Idaho Falls ID 83401-5299
Phone: (208) 523-1558
Fax: (208) 529-4788
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Jessie Elaine LCPC LMFT
Phone: (208) 523-1558

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X Idaho
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X Idaho

Profile Details

NPI number 1003101577
LBN Legal business name Sullivan Mental Health Services Llc
DBA Doing business as
Authorized official Sullivan, Jessie Elaine LCPC LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2011
Last updated Nov 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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