Individual provider · Type 1 NPI
Amanda S. Sullivan, LMHCA
Mental Health Counselor · Winston Salem, NC
NPI number
1770169005
Active
Practice location
2852 Wesleyan Ln
Winston Salem, NC 27106-5848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A15051 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1770169005
Amanda S. Sullivan, LMHCA's National Provider Identifier is 1770169005, issued on Mar 18, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 18, 2021.