KELLY ANN ANTISTA SULTAN
NPI 1124252077
Counselor - Mental Health in San Luis Obispo, CA

Active since May 06, 2009
3765 S HIGUERA ST, STE 100, SAN LUIS OBISPO, CA 93401(805) 781-3535 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Ann Antista Sultan NPPES

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

KELLY ANN ANTISTA SULTAN (NPI 1124252077) is an individual mental health provider in San Luis Obispo, California and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1124252077
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY ANN ANTISTA SULTAN
Location Address3765 S HIGUERA ST, STE 100San Luis Obispo, CA 93401-1570
Mailing Address1828 Fixlini St., Apt BSan Luis Obispo, CA 93401 · (805) 602-0733
Sole ProprietorNo
Enumeration DateMay 6, 2009
Last NPPES UpdateAugust 13, 2015
NPI 1124252077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3765 S HIGUERA ST, San Luis Obispo, CA 93401

Other Names 1

Former Name (1)Kelly Ann Antista

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
3765 S HIGUERA ST, STE 100
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
3765 S HIGUERA ST, STE 100
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
3765 S HIGUERA ST, STE 100
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
3765 S HIGUERA ST, SUITE 100
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
3765 S HIGUERA ST, STE 100
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
3765 S HIGUERA ST, STE 100
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
3765 S HIGUERA ST, SUITE 100
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
3765 S HIGUERA ST, STE 100
SAN LUIS OBISPO, CA 93401

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 Kelly Sultan's NPI number?

The NPI number for Kelly Sultan is 1124252077. It was assigned to this individual provider in the NPPES registry on May 6, 2009. The provider is also known as Kelly Ann Antista.

Where is Kelly Sultan located?

Kelly Sultan practices at 3765 S Higuera St Ste 100, San Luis Obispo, CA 93401. The listed phone number is (805) 781-3535.

What is Kelly Sultan'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 Kelly Sultan was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.