HEATHER SULLIVAN LPC
NPI 1255053112
Counselor - Professional in Gainesville, GA

Active since September 16, 2022
417 GREEN STREET PL, GAINESVILLE, GA 30501(678) 696-8107(678) 696-8633 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heather Sullivan Lpc NPPES

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

HEATHER SULLIVAN LPC (NPI 1255053112) is an individual professional provider in Gainesville, Georgia, licensed in Georgia (LPC013228) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1255053112
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHEATHER SULLIVANCredential: LPC
Location Address417 GREEN STREET PLGainesville, GA 30501-3317
Mailing Address571 Sublett RdCampbellsville, KY 42718-8254
Fax(678) 696-8633
Sole ProprietorYes
Enumeration DateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
NPI 1255053112 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 GA · LPC013228
417 GREEN STREET PL, Gainesville, GA 30501

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255053112, enumerated as an "individual" on September 16, 2022.

The provider is located at 417 GREEN STREET PL GAINESVILLE, GA 30501 and the phone number is (678) 696-8107.

Counselor with taxonomy code 101YP2500X and a focus in Professional.