MEDELYN YOLANDA SULLIVAN MINOR (NPI# 1033434584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033434584 |
| Entity Type | Individual |
| Full Name | MEDELYN YOLANDA SULLIVAN MINOR |
| Credential | LPC |
| Practice Address |
1550 Wall St Ste. 244 Saint Charles MO 63303-3545 |
| Mailing Address |
Po Box 190226 Saint Louis MO 63119-6226 |
| Practice Telephone | 3146503905 |
| Practice Fax Number | 3148902034 |
| Mailing Telephone | 3146503905 |
| Mailing Fax Number | 3148902034 |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2005009307 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1550 WALL ST STE. 244 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-3545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086474 | Veria Counseling, LLC | Counselor | 1550 Wall St, Suite 244, Saint Charles, MO 63303-3545 | 2015-10-23 |
| 1437573730 | Eric Hamrick | Counselor | 1550 Wall St, Suite 16c, Saint Charles, MO 63303-3545 | 2014-02-07 |
| 1538403506 | Kimberly M Elder | Counselor | 1550 Wall St, Ste. 244, Saint Charles, MO 63303-3545 | 2012-11-15 |
| 1265734511 | Gloria Stephen | Counselor | 1550 Wall St, Suite 231, Saint Charles, MO 63303-3545 | 2010-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504889 | Mary Kate Francis | Counselor | 2 Buckingham Pl Apt A, Saint Charles, MO 63301-1198 | 2020-09-24 |
| 1407488307 | Brandy Ray | Counselor | 2085 Bluestone Dr Ste 201, Saint Charles, MO 63303-6727 | 2020-02-07 |
| 1780224832 | Heather Bono Midgley | Counselor | 5524 Wooded Creek Dr, Saint Charles, MO 63304-2472 | 2020-01-07 |
| 1952954596 | Kristin Fanning | Counselor | 322 Mcdonough St, Saint Charles, MO 63301-3451 | 2019-07-23 |
| 1609345537 | Erin Mae Smith | Counselor | 1002 Madison St, Saint Charles, MO 63301-2772 | 2018-11-20 |
| 1972089274 | Susan Corey Hart | Counselor | 2536 S Old Highway 94 Ste 234, Saint Charles, MO 63303-5612 | 2018-07-19 |
| 1215444807 | Renee Lynn Wisdom | Counselor | 3228 Bowman Rdg, Saint Charles, MO 63301-0424 | 2018-01-04 |
| 1518497445 | Gina Uding | Counselor | 1012 Heritage Ct, Saint Charles, MO 63303-8464 | 2017-06-13 |
| 1285160770 | Jaime Melissa Nolle | Counselor | 1060 Country Club Rd Ste 101d, Saint Charles, MO 63303-3373 | 2017-05-03 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
Please comment or provide details below to improve the information on MEDELYN YOLANDA SULLIVAN MINOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.