Individual provider · Type 1 NPI

Evangeline O. Sullivan, PhD

Marriage & Family Therapist · San Antonio, TX

NPI number 1104933472 Active

Practice location

1901 NW Military Hwy Ste 112
San Antonio, TX 78213

Call (210) 828-0950 Map

Fax (210) 828-0206

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X11418 (TX)
Mental Health Counselor 101YM0800X11418 (TX)
Professional Counselor 101YP2500X11418 (TX)
Marriage & Family Therapist Primary 106H00000X003395 (TX)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104933472

Evangeline O. Sullivan, PhD's National Provider Identifier is 1104933472, issued on Aug 24, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Antonio, TX. The record was last updated on Sep 11, 2025.