Stylacia Denise Sullivan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

716 Zimalcrest Dr Apt 1606
Columbia, SC 29210-6571

Phone

(864) 329-5830

NPI assigned

Sep 27, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1861829491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 ZIMALCREST DR APT 1606",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106571",
            "telephone_number": "864-329-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 ZIMALCREST DR APT 1606",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106571",
            "telephone_number": "864-329-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "STYLACIA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Sullivan, NP
• Judy Carol Sullivan, PH.D.
• Kayleigh Sullivan, RBT
• Mary Ellen Sullivan, GNP-BC
• Meagan Sullivan
• William Joseph Sullivan, PHYSICAL THERAPIST
• Thelisa Y Sulton
• Lauren Nicole Summerell, DO
• Channell Summers, M.A., CCC-SLP
• Devonda Jan'Et Summers, RBT

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.