Individual provider · Type 1 NPI

Tina Sullivan, APSW

Mental Health Counselor · De Pere, WI

NPI number 1447145255 Active

Practice location

3860 Monroe Rd
De Pere, WI 54115-8399

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X135534-121 (WI)
Mental Health Counselor Primary 101YM0800X135534-121 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1447145255

Tina Sullivan, APSW's National Provider Identifier is 1447145255, issued on Jun 11, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in De Pere, WI. The record was last updated on Jul 10, 2025.