Individual provider · Type 1 NPI

Stacey Miglicco Sullivan, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Houston, TX

NPI number 1144597816 Active

Practice location

1345 Space Park Dr
Houston, TX 77058-3468

Other practice locations

  • 2051 Greenhouse Rd Ste 300, Houston, TX 77084-7859 · (844) 824-8775

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP121225 (TX)
Registered Nurse 163W00000X731774 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1144597816

Stacey Miglicco Sullivan, PMHNP-BC's National Provider Identifier is 1144597816, issued on Nov 24, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Houston, TX. The record was last updated on Sep 1, 2026.