Melanie F Sullivan, LMFT in Shelley, ID - Marriage & Family Therapist

Melanie F Sullivan, LMFT is a Marriage & Family Therapist based in Shelley, Idaho. Melanie F Sullivan is licensed to practice in Idaho (license number 4156) and her current practice location is 697 N 900 E, Shelley, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 604-6019.

NPI number for Melanie F Sullivan is 1336221605 and her current mailing address is 697 N 900 E, Shelley, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336221605.

Contact Information

	Melanie F Sullivan, LMFT
	697 N 900 E, Shelley, ID 83274-5208
	(208) 604-6019
	Not Available

Healthcare Provider's Profile

Full Name	Melanie F Sullivan
Gender	Female
Speciality	Marriage & Family Therapist
Location	697 N 900 E, Shelley, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1336221605
Provider Enumeration Date: 10/19/2006
Last Update Date: 09/30/2010

Medical Identifiers

Medical identifiers for Melanie F Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336221605	NPI	-	NPPES
6105145	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	4156 (Idaho)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melanie F Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Melanie F Sullivan, LMFT 697 N 900 E, Shelley, ID 83274-5208 Ph: (208) 604-6019	Melanie F Sullivan, LMFT 697 N 900 E, Shelley, ID 83274-5208 Ph: (208) 604-6019

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Melanie F Sullivan, LMFT - Couples Therapy in Shelley, ID