RICHARD SULLIVAN
NPI 1821567611
Counselor - Addiction (Substance Use Disorder) in Bossier City, LA
Active since November 21, 2018
About Richard Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD SULLIVAN (NPI 1821567611) is an individual addiction (substance use disorder) provider in Bossier City, Louisiana, licensed in Louisiana (4146) and active in the NPI registry since November 2018.
NPPES Registry Identity
NPI1821567611
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRICHARD SULLIVAN
Location Address1525 FULLILOVE DRBossier City, LA 71112-3346
Mailing Address2000 Fairfield AvenueShreveport, LA 71104 · (318) 222-8511
Phone(318) 747-1111
Fax(318) 317-3333
Sole ProprietorYes
Enumeration DateNovember 21, 2018
✔ NPI 1821567611 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in LA · 4146
1525 FULLILOVE DR, Bossier City, LA 71112
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
BOSSIER CITY, LA 71112
Counselor (Addiction (Substance Use Disorder))
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
BOSSIER CITY, LA 71112
Counselor (Addiction (Substance Use Disorder))
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
BOSSIER CITY, LA 71112
Counselor (Addiction (Substance Use Disorder))
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
BOSSIER CITY, LA 71112
Counselor (Addiction (Substance Use Disorder))
1525 FULLILOVE DR
BOSSIER CITY, LA 71112
BOSSIER CITY, LA 71112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821567611, enumerated as an "individual" on November 21, 2018.
The provider is located at 1525 FULLILOVE DR BOSSIER CITY, LA 71112 and the phone number is (318) 747-1111.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
