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HOLLY NICOLE SULLIVAN
NPI 1205571387
Counselor - Addiction (Substance Use Disorder) in Fairborn, OH

Active since May 03, 2022
302 W MAIN ST, FAIRBORN, OH 45324(937) 281-4673(937) 318-1120 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2022, May 3, 2022 (2 updates tracked since 2022).

About Holly Nicole Sullivan NPPES

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

HOLLY NICOLE SULLIVAN (NPI 1205571387) is an individual addiction (substance use disorder) provider in Fairborn, Ohio and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1205571387
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameHOLLY NICOLE SULLIVAN
Location Address302 W MAIN STFairborn, OH 45324-5037
Mailing Address3103 Dixie HwyHamilton, OH 45015-1653 · (513) 892-4673 · Fax (513) 737-1107
Phone(937) 281-4673
Fax(937) 318-1120
Sole ProprietorYes
Enumeration DateMay 3, 2022
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1205571387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
302 W MAIN ST, Fairborn, OH 45324
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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.

MEGAN N RIDER CDCA
Counselor (Addiction (Substance Use Disorder))
302 W MAIN ST
FAIRBORN, OH 45324
Greene County (937) 281-4673
HAILEY CIERRA KEMP CDCA
Counselor (Addiction (Substance Use Disorder))
302 W MAIN ST
FAIRBORN, OH 45324
Greene County (937) 281-4673
LAURA A RODGERS
Social Worker
302 W MAIN ST
FAIRBORN, OH 45324
Greene County (937) 281-4673
MS. CONNIE S WILLIAMS LISW-SUPV
Social Worker (Clinical)
302 W MAIN ST
FAIRBORN, OH 45324
Greene County (937) 281-4673
MELISSA MURRELL
Counselor (Addiction (Substance Use Disorder))
302 W MAIN ST
FAIRBORN, OH 45324
Greene County (937) 281-4673
CYNTHIA DARDEN
Social Worker
302 W MAIN ST
FAIRBORN, OH 45324
Greene County (937) 281-4673
MICHAEL I LETTS LCDCII
Counselor (Addiction (Substance Use Disorder))
302 W MAIN ST
FAIRBORN, OH 45324
Greene County (937) 281-4673
NAMYA WRIGHT
Case Manager/Care Coordinator
302 W MAIN ST
FAIRBORN, OH 45324
Greene County (937) 281-4673

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 Holly Sullivan's NPI number?

The NPI number for Holly Sullivan is 1205571387. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Holly Sullivan located?

Holly Sullivan practices at 302 W Main St, Fairborn, OH 45324. The listed phone number is (937) 281-4673.

What is Holly Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Holly Sullivan was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.