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KIMBERLY SULLIVAN
NPI 1629818810
Counselor - Mental Health in Douglasville, GA

Active since May 28, 2024
4185 CLARKS TRL, DOUGLASVILLE, GA 30135(678) 667-1886 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2024, Jun 8, 2024 (2 updates tracked since 2024).

About Kimberly Sullivan NPPES

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

KIMBERLY SULLIVAN (NPI 1629818810) is an individual mental health provider in Douglasville, Georgia and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1629818810
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY SULLIVAN
Location Address4185 CLARKS TRLDouglasville, GA 30135-8686
Mailing Address4185 Clarks TrlDouglasville, GA 30135-8686
Phone(678) 667-1886
Sole ProprietorNo
Enumeration DateMay 28, 2024
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1629818810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4185 CLARKS TRL, Douglasville, GA 30135
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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 Kimberly Sullivan's NPI number?

The NPI number for Kimberly Sullivan is 1629818810. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Kimberly Sullivan located?

Kimberly Sullivan practices at 4185 Clarks Trl, Douglasville, GA 30135. The listed phone number is (678) 667-1886.

What is Kimberly Sullivan'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 Kimberly Sullivan was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.