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MS. SULLY RIVERA MA
NPI 1164651691
Counselor - Mental Health in Palm Bay, FL

Active since July 06, 2009
210 KRASSNER DR NW, PALM BAY, FL 32907(787) 504-6247 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Sully Rivera Ma NPPES

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

MS. SULLY RIVERA MA (NPI 1164651691) is an individual mental health provider in Palm Bay, Florida, licensed in Florida (IMH27362) and active in the NPI registry since July 2009. She maintains a secondary practice location in Palm Bay.

NPPES Registry Identity

NPI1164651691
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SULLY RIVERACredential: MA
Location Address210 KRASSNER DR NWPalm Bay, FL 32907-6937
Mailing Address210 Krassner Dr NwPalm Bay, FL 32907-6937 · (787) 504-6247
Phone(787) 504-6247
Sole ProprietorYes
Enumeration DateJuly 6, 2009
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1164651691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH27362
Also ListedPsychologistTaxonomy 103T00000X · License 3347 (PR)
210 KRASSNER DR NW, Palm Bay, FL 32907
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Secondary Practice Location 1

Location 1210 Krassner Dr NWPalm Bay, FL 32907-6937 · Phone (787) 504-6247

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 Sully Rivera's NPI number?

The NPI number for Sully Rivera is 1164651691. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Sully Rivera located?

Sully Rivera practices at 210 Krassner Dr NW, Palm Bay, FL 32907. The listed phone number is (787) 504-6247.

What is Sully Rivera'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 Sully Rivera was last updated on August 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.