Individual provider · Type 1 NPI

Brady Sullivan, LPC, NCC

Counselor · St. Louis, MO

NPI number 1497244115 Active

Practice location

3115 S Grand Blvd Ste 300
St. Louis, MO 63118-1046

Call (314) 339-7356 Map

Mailing address

4325 Loughborough Ave
St. Louis, MO 63116-2103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2018014894 (MO)
Counselor Primary 101Y00000X2018014894 (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1497244115

Brady Sullivan, LPC, NCC's National Provider Identifier is 1497244115, issued on May 8, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Louis, MO. The record was last updated on May 4, 2022.