Active NPI
Sullivan Counseling, LLC
- Community/Behavioral Health Agency
- Charleston, SC
National Provider Identifier
1104218635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 5739
- Legal business name
- SULLIVAN COUNSELING, LLC
- Practice address
- 3030 Ashley Town Center Dr
Charleston, SC 29414-5664 - Phone
- (843) 345-5121
- NPI assigned
- Feb 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Sullivan, LPC
- Title
- Therapist
- Phone
- (843) 345-5121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 5739 | SC | Primary |
Addresses
Primary practice location
3030 Ashley Town Center Dr
Charleston, SC 29414-5664
Mailing address
2641 Marsh Creek Dr
Charleston, SC 29414-6595
Phone (843) 345-5121
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424390400000",
"number": "1104218635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2641 MARSH CREEK DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294146595",
"telephone_number": "843-345-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 ASHLEY TOWN CENTER DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145664",
"telephone_number": "843-345-5121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SULLIVAN COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-20",
"last_updated": "2015-02-20",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "843-345-5121",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "SC",
"license": "5739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.