Individual provider · Type 1 NPI
Theodore Sullivan, LMHC, LCPC, LPC
Mental Health Counselor · Chesterton, IN
NPI number
1730947599
Active
Practice location
1487 N Brummitt Rd
Chesterton, IN 46304-8710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39005758A (IN) |
| Mental Health Counselor | 101YM0800X | 101056 (TX) |
| Mental Health Counselor | 101YM0800X | 180.018283 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1730947599
Theodore Sullivan, LMHC, LCPC, LPC's National Provider Identifier is 1730947599, issued on Mar 7, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chesterton, IN. The record was last updated on Aug 4, 2026.