Individual provider · Type 1 NPI

Tiffany Diana Sullivan, MS, LPC

Mental Health Counselor · Philadelphia, PA

NPI number 1619786100 Active

Practice location

3535 Market St Fl 5
Philadelphia, PA 19104-3345

Call (215) 746-4110 Map

Mailing address

8875 Ridge Ave Apt 5
Philadelphia, PA 19128-2000

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPC016598 (PA)

Mental Health Counselor: Definition to come...

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About NPI 1619786100

Tiffany Diana Sullivan, MS, LPC's National Provider Identifier is 1619786100, issued on Dec 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 17, 2025.