ZACKARY DAIN SULLIVAN
NPI 1326641978
Counselor in Paducah, KY

Active since November 17, 2020
425 BROADWAY ST, PADUCAH, KY 42001(270) 442-7121 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Zackary Dain Sullivan NPPES

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

ZACKARY DAIN SULLIVAN (NPI 1326641978) is an individual counselor in Paducah, Kentucky and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1326641978
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameZACKARY DAIN SULLIVAN
Location Address425 BROADWAY STPaducah, KY 42001-0713
Mailing Address425 Broadway StPaducah, KY 42001-0713 · (270) 442-7121
Sole ProprietorNo
Enumeration DateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
NPI 1326641978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

425 BROADWAY ST, Paducah, KY 42001

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST, SUITE 201
PADUCAH, KY 42001
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
Clinic/Center (Community Health)
425 BROADWAY ST, SUITE 201
PADUCAH, KY 42001
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326641978, enumerated as an "individual" on November 17, 2020.

The provider is located at 425 BROADWAY ST PADUCAH, KY 42001 and the phone number is (270) 442-7121.

Counselor with taxonomy code 101Y00000X.