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CRYSTAL NOEL SULLIVAN LAC
NPI 1972815447
Counselor - Addiction (Substance Use Disorder) in Minot, ND

Active since July 13, 2010
1015 S BROADWAY, SUITE 18, MINOT, ND 58701(701) 857-8500(701) 857-8555 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Noel Sullivan Lac NPPES

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

CRYSTAL NOEL SULLIVAN LAC (NPI 1972815447) is an individual addiction (substance use disorder) provider in Minot, North Dakota, licensed in North Dakota (1765) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1972815447
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL NOEL SULLIVANCredential: LAC
Location Address1015 S BROADWAY, SUITE 18Minot, ND 58701-4667
Mailing Address1015 S Broadway, Suite 18Minot, ND 58701-4667 · (701) 857-8500 · Fax (701) 857-8555
Phone(701) 857-8500
Fax(701) 857-8555
Sole ProprietorYes
Enumeration DateJuly 13, 2010
Last NPPES UpdateJune 12, 2015
✔ NPI 1972815447 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
Licenses✔ Licensed in ND · 1765✔ Licensed in MT · 1295
1015 S BROADWAY, Minot, ND 58701
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DENNIS D SOMMERS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1015 S BROADWAY, SUITE 17
MINOT, ND 58701
Ward County (701) 852-2646
GARRETT STOKELING
Case Manager/Care Coordinator
1015 S BROADWAY, SUITE 18
MINOT, ND 58701
Ward County (701) 857-8500
MS. EMILY ANN CASTLEMAN
Case Manager/Care Coordinator
1015 S BROADWAY, SUITE 18
MINOT, ND 58701
Ward County (701) 857-8500
TIFFANY THORSON
Case Manager/Care Coordinator
1015 S BROADWAY, SUITE 18
MINOT, ND 58701
Ward County (701) 857-8500
MARTHA ZAVALA
Case Manager/Care Coordinator
1015 S BROADWAY, SUITE 18
MINOT, ND 58701
Ward County (701) 857-8500
EDWIN PEREZ JR.
Case Manager/Care Coordinator
1015 S BROADWAY, SUITE 18
MINOT, ND 58701
Ward County (701) 857-8500
ROBERT RAMSAY LAC LSW
Counselor (Addiction (Substance Use Disorder))
1015 S BROADWAY, STE 18
MINOT, ND 58701
Ward County (701) 857-8500
GREER DENTAL,P.C.
Dentist (General Practice)
1015 S BROADWAY, SUITE 20
MINOT, ND 58701
Ward County (701) 838-1123

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 Crystal Sullivan's NPI number?

The NPI number for Crystal Sullivan is 1972815447. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Crystal Sullivan located?

Crystal Sullivan practices at 1015 S Broadway Suite 18, Minot, ND 58701. The listed phone number is (701) 857-8500.

What is Crystal Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Crystal Sullivan was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.