Nereyda Sullins, LPC, NCC
Individual provider Active NPI Mental Health Counselor · New Boston, MI
NPI 1164044418 · NPPES record last updated May 9, 2020
Key facts
- NPI
- 1164044418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 82155 (TX)
- Practice address
- 37675 Canterbury Cir
New Boston, MI 48164-9769 - Phone
- (956) 998-9424
- NPI assigned
- May 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82155 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Counseling Center LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 82155 | TX | Yes |
Addresses
Primary practice location
37675 Canterbury Cir
New Boston, MI 48164-9769
Mailing address
37675 Canterbury Cir
New Boston, MI 48164-9769
Phone (956) 998-9424
Other providers in New Boston, MI
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- Kerielle Smith
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- Laxmi Sukhtankar
- Moya Tara Talley
- The Speech and Language Advocacy Center
- Toms P. Mathew M.D., P.C.
- Vijayalakshmi Nagappan MD PC
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All providers in New Boston, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.