NPI Registry.org

Mariah Wynne Beck Sullivan

NPI Registration Record

Provider / OrganizationNPIDate Certified
MARIAH WYNNE BECK SULLIVAN11741153982022-04-04

Mariah Wynne Beck Sullivan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174115398. Registration indicates Mariah Wynne Beck Sullivan is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )

Entity TypeIndividual
Provider Name Mariah Wynne Beck Sullivan
Practice Office Address2149 CENTENNIAL PLZ STE 4
EUGENE, OR US
Practice Office Telephone5417417107
Practice Office Fax5416879279
Mailing Address78A CENTENNIAL LOOP
EUGENE, OR 974013082 US
Business Telephone5413930777
Business Fax5416879279
HPT Codes
CodePractice
License No
State
101YM0800X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Counselor
Behavioral Health & Social Service Providers
Counselor
Counselor: Mental Health

Behavioral Health/Substance Abuse/Psychiatry

Counselor Mental Health
Behavioral Health & Social Service Providers
Counselor
OPI Codes
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