MRS. KARLA KIMBERLEY SULLIVAN MCP, LPC
NPI 1104104702
Counselor - Professional in Enid, OK
Active since July 30, 2011
About Mrs. Karla Kimberley Sullivan Mcp, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KARLA KIMBERLEY SULLIVAN MCP, LPC (NPI 1104104702) is an individual professional provider in Enid, Oklahoma, licensed in Oklahoma (4530) and active in the NPI registry since July 2011.
NPPES Registry Identity
NPI1104104702
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KARLA KIMBERLEY SULLIVANCredential: MCP, LPC
Location Address222 N TAFT STEnid, OK 73703-4001
Mailing Address222 N Taft StEnid, OK 73703-4001 · (580) 548-3953
Phone(580) 548-3953
Sole ProprietorYes
Enumeration DateJuly 30, 2011
Last NPPES UpdateJanuary 13, 2012
✔ NPI 1104104702 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 OK · 4530
222 N TAFT ST, Enid, OK 73703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104104702, enumerated as an "individual" on July 30, 2011.
The provider is located at 222 N TAFT ST ENID, OK 73703 and the phone number is (580) 548-3953.
Counselor with taxonomy code 101YP2500X and a focus in Professional.