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MRS. MELINDA BASKIN SULLIVAN LMHC
NPI 1033428461
Counselor - Mental Health in Fernandina Beach, FL

Active since October 04, 2010
910 S. 8TH STREET, SUITE 124, FERNANDINA BEACH, FL 32034(904) 557-1006 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Melinda Baskin Sullivan Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELINDA BASKIN SULLIVAN LMHC (NPI 1033428461) is an individual mental health provider in Fernandina Beach, Florida, licensed in Florida (MH10362) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1033428461
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MELINDA BASKIN SULLIVANCredential: LMHC
Location Address910 S. 8TH STREET, SUITE 124Fernandina Beach, FL 32034-2250
Mailing Address1012 Oceanview CtFernandina Beach, FL 32034-2250 · (904) 557-1006
Phone(904) 557-1006
Sole ProprietorYes
Enumeration DateOctober 4, 2010
Last NPPES UpdateFebruary 22, 2018
✔ NPI 1033428461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH10362
910 S. 8TH STREET, SUITE 124, Fernandina Beach, FL 32034
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Other Names 1

Former Name (1)Martha M Sullivan

Other Identifiers 2

Other12196399FL · Caqh
Medicaid002775800FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melinda Sullivan's NPI number?

The NPI number for Melinda Sullivan is 1033428461. It was assigned to this individual provider in the NPPES registry on October 4, 2010. The provider is also known as Martha M Sullivan.

Where is Melinda Sullivan located?

Melinda Sullivan practices at 910 S. 8th Street, Suite 124, Fernandina Beach, FL 32034. The listed phone number is (904) 557-1006.

What is Melinda Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Melinda Sullivan was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.