Individual provider · Type 1 NPI
Andrew Sullivan
Mental Health Counselor · Winston Salem, NC
NPI number
1053155986
Active
Practice location
450 N Broad St Apt 305
Winston Salem, NC 27101-2532
Mailing address
203 Woody Creek Rd
Greer, SC 29650-3040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A20166 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1053155986
Andrew Sullivan's National Provider Identifier is 1053155986, issued on Jun 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 3, 2025.