JESSICA DANIELA SULLIVAN MS, CRC, NCC
NPI 1760022909
Counselor in Lilburn, GA
- Individual
- Female
- Counselor
About JESSICA SULLIVAN
This page provides the complete NPI Profile along with additional information for Jessica Sullivan, a provider established in Lilburn, Georgia with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1760022909 assigned on January 2020. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1760022909 Verify this NPI
- Provider Name
- JESSICA DANIELA SULLIVAN MS, CRC, NCC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3161 ROYAL CREEK WAY SW LILBURN, GA 30047
- Location Phone
- (678) 369-1731
- Mailing Address
- 3161 ROYAL CREEK WAY SW LILBURN, GA 30047
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-15-2020
- Last Update Date
- 03-25-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760022909, enumerated as an "individual" on January 15, 2020.
The provider is located at 3161 ROYAL CREEK WAY SW LILBURN, GA 30047 and the phone number is (678) 369-1731.
Counselor with taxonomy code 101Y00000X.
