SALLY SULLIVAN LPC
NPI 1073907697
Counselor - Professional in Oxford, MS

Active since March 20, 2015
1202 OFFICE PARK DR., SUITE A, OXFORD, MS 38655(662) 801-6940(662) 234-3535 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sally Sullivan Lpc NPPES

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

SALLY SULLIVAN LPC (NPI 1073907697) is an individual professional provider in Oxford, Mississippi, licensed in Mississippi (1969) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1073907697
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSALLY SULLIVANCredential: LPC
Location Address1202 OFFICE PARK DR., SUITE AOxford, MS 38655
Mailing Address1202 Office Park Dr., Suite AOxford, MS 38655 · (662) 801-6940 · Fax (662) 234-3535
Fax(662) 234-3535
Sole ProprietorYes
Enumeration DateMarch 20, 2015
NPI 1073907697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MS · 1969
1202 OFFICE PARK DR., Oxford, MS 38655

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1202 OFFICE PARK DR., SUITE A
OXFORD, MS 38655

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 Sally Sullivan's NPI number?

The NPI number for Sally Sullivan is 1073907697. It was assigned to this individual provider in the NPPES registry on March 20, 2015.

Where is Sally Sullivan located?

Sally Sullivan practices at 1202 Office Park Dr. Suite A, Oxford, MS 38655. The listed phone number is (662) 801-6940.

What is Sally Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Sally Sullivan was last updated on March 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.