MRS. MARY LOU SULL PCC-SLSWLICDC NPI 1346316106

NPI Information

NPI: 1346316106
Provider Name: MRS. MARY LOU SULL, PCC-S,LSW,LICDC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
14843 W SPRAGUE RD STE A
STRONGSVILLE, OH
ZIP 44136
Phone: (440) 234-9955
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MRS. Mary Lou Sull, PCC-S,LSW,LICDC is a counselor in Strongsville, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Mary Lou Sull, PCC-S,LSW,LICDC NPI is 1346316106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14843 W SPRAGUE RD STE A
STRONGSVILLE, OH
ZIP 44136-754
Phone: (440) 234-9955
Fax: (440) 234-5994

The enumeration date for this NPI number is 11/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		E0002000	OHIO	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	991499	OHIO	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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