TANITA SHANTA SULLIVAN
NPI 1659671147
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willis, TX

Q: What is Tanita Sullivan's NPI number?

The NPI number for Tanita Sullivan is 1659671147. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Q: What is Tanita Sullivan's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Tanita Sullivan was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 29, 2010

13985 BROKEN ARROW DR, WILLIS, TX 77378(936) 856-6136(936) 856-7549 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tanita Shanta Sullivan NPPES

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

TANITA SHANTA SULLIVAN (NPI 1659671147) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Willis, Texas and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1659671147

Entity TypeIndividualFemale

Primary Taxonomy320600000X

Provider Legal NameTANITA SHANTA SULLIVAN

Location Address13985 BROKEN ARROW DRWillis, TX 77378-4323

Mailing Address13985 Broken Arrow DrWillis, TX 77378-4323 · (936) 856-6136 · Fax (936) 856-7549

Phone(936) 856-6136

Fax(936) 856-7549

Sole ProprietorYes

Enumeration DateOctober 29, 2010

✔ NPI 1659671147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

13985 BROKEN ARROW DR, Willis, TX 77378

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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 Tanita Sullivan's NPI number?

The NPI number for Tanita Sullivan is 1659671147. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Tanita Sullivan located?

Tanita Sullivan practices at 13985 Broken Arrow Dr, Willis, TX 77378. The listed phone number is (936) 856-6136.

What is Tanita Sullivan's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Tanita Sullivan was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.