Individual provider · Type 1 NPI

Sully Rivera, MA

Mental Health Counselor · Palm Bay, FL

NPI number 1164651691 Active

Practice location

210 Krassner Dr NW
Palm Bay, FL 32907-6937

Call (787) 504-6247 Map

Other practice locations

  • 210 Krassner Dr NW, Palm Bay, FL 32907-6937 · (787) 504-6247

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X3347 (PR)
Mental Health Counselor Primary 101YM0800XIMH27362 (FL)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Palm Bay

See all in Palm Bay →

About NPI 1164651691

Sully Rivera, MA's National Provider Identifier is 1164651691, issued on Jul 6, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palm Bay, FL. The record was last updated on Aug 20, 2025.