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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL GRUER SULLIVAN, LMHC, MCAP

Active

MICHAEL GRUER SULLIVAN, LMHC, MCAP is a Mental Health Counselor healthcare provider located in LAKELAND, Florida. NPI 1063791747 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LAKELAND, FL

Registration Details

NPI Number
1063791747
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2011 (14.998166040271 yrs)
Last Updated
Apr 27, 2020
Licenses
MH15284 (FL)
MH15284 (FL)
MH15284 (FL)
MH15284 (FL)

Practice Information

Address
2024 N. CRYSTAL LAKE DR.
SUITE 200 ROOM 205
LAKELAND, FL, 338016015
Browse FL providers · Browse ZIP 33801
Phone
8634102095
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Professional Counselor
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in LAKELAND, FL

Name Credential NPI
DONALD FRED WILLETS LMHC 1073508305
ROBERT SCOTT WEST LMHC 1861489288
MS. KATE COHEN-POSEY LMHC 1780659433
MRS. ELIZABETH DUMVILLE LMHC 1629047972
MR. MICHAEL R. GOLDBERG LMHC 1487616934
DR. PAMELA DIANE TRICE PSYD, LCPC, LMT 1134181902
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.