MRS. MARY LOU SULLIVAN MA COUNSELING MFCC
NPI 1801083514
Counselor - Mental Health in Portland, OR

Active since September 26, 2007
1132 SW 13TH AVENUE, PORTLAND, OR 97205(503) 535-3885(503) 223-6837 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Mental Health

About MARY SULLIVAN

This page provides the complete NPI Profile along with additional information for Mary Sullivan, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1801083514 assigned on September 2007. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1801083514 Verify this NPI
Provider Name
MRS. MARY LOU SULLIVAN MA COUNSELING MFCC
Other Name
MARY LOU BACCI VILLAVICENCIO
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1132 SW 13TH AVENUE PORTLAND, OR 97205
Location Phone
(503) 535-3885
Location Fax
(503) 223-6837
Mailing Address
1132 SW 13TH AVENUE PORTLAND, OR 97205
Mailing Phone
(503) 535-3885
Mailing Fax
(503) 223-6837
Is Sole Proprietor?
No
Enumeration Date
09-26-2007
Last Update Date
09-26-2007
Code Navigator

A mental health counselor like Mary Sullivan provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Reviews for MRS. MARY LOU SULLIVAN MA COUNSELING MFCC

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Social Worker (Clinical)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Counselor (Mental Health)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Counselor (Mental Health)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Social Worker (Clinical)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Counselor (Mental Health)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1132 SW 13TH AVENUE
PORTLAND, OR 97205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801083514, enumerated as an "individual" on September 26, 2007.

The provider is located at 1132 SW 13TH AVENUE PORTLAND, OR 97205 and the phone number is (503) 535-3885.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.