MR. BRUCE WAYNE SULLIVAN LPC
NPI 1508836537
Counselor - Professional in Gulfport, MS

Q: What is Bruce Sullivan's NPI number?

The NPI number for Bruce Sullivan is 1508836537. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Bruce Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 24, 2006

450 E PASS RD, STE. 3, GULFPORT, MS 39507(228) 604-0099(228) 604-2001 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Bruce Wayne Sullivan Lpc NPPES

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

MR. BRUCE WAYNE SULLIVAN LPC (NPI 1508836537) is an individual professional provider in Gulfport, Mississippi, licensed in Mississippi (0727) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1508836537

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. BRUCE WAYNE SULLIVANCredential: LPC

Location Address450 E PASS RD, STE. 3Gulfport, MS 39507-3212

Mailing Address450 E Pass Rd, Ste. 3Gulfport, MS 39507-3212 · (228) 604-0099 · Fax (228) 604-2001

Phone(228) 604-0099

Fax(228) 604-2001

Sole ProprietorYes

Enumeration DateJanuary 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508836537 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 MS · 0727

450 E PASS RD, Gulfport, MS 39507

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Other Identifiers 1

OtherLPCMS · Mental Health

Other Providers at the Same Location NPPES

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

DR. MANDI ELKINS SMITH O.D.

Optometrist

450 E PASS RD
GULFPORT, MS 39507

Harrison County (228) 896-8916

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 Bruce Sullivan's NPI number?

The NPI number for Bruce Sullivan is 1508836537. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Bruce Sullivan located?

Bruce Sullivan practices at 450 E Pass Rd Ste. 3, Gulfport, MS 39507. The listed phone number is (228) 604-0099.

What is Bruce Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bruce Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.