Individual provider · Type 1 NPI

Keith Alan Sullivan

Marriage & Family Therapist · Raleigh, NC

NPI number 1396062873 Active

Practice location

4601 Lake Boone Trl Ste 1B
Raleigh, NC 27607-7503

Call (919) 781-1800 Map

Mailing address

515 Rice Cir
Wake Forest, NC 27587-2516

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	21226A (NC)

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 1396062873

Keith Alan Sullivan's National Provider Identifier is 1396062873, issued on Apr 23, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 11, 2026.