Michelle Sullivan, LPC

NPI #1275963464 in Madison, Tennessee

Provider Information

NPI Number: 1275963464
Entity Type: Individual
Name: Michelle Sullivan, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Nov 25, 2013
Last Updated: Mar 22, 2021

Practice Location

Address: 601 W DUE WEST AVE
City: Madison
State: Tennessee
ZIP Code: 37115-4423
Phone: (615) 227-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor - Professional — Professional	101YP2500X	Primary

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