MR. JOSEPH DAVID SULLIVAN


Address: 1701 Centerview Dr Ste 102, Little Rock, AR 72211-4311
Phone: 5012240318

MR. JOSEPH DAVID SULLIVAN (NPI# 1063526325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063526325
Entity Type Individual
Full Name MR. JOSEPH DAVID SULLIVAN
Credential L.P.C.
Practice Address 1701 Centerview Dr Ste 102
Little Rock
AR 72211-4311
Practice Telephone 5012240318
Mailing Telephone 5012240318
Enumeration Date 2006-08-17
Last Update Date 2019-08-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
P0211045 AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR LPC LICENSE NUMBER P0211045 01

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Office Location

Street Address 1701 CENTERVIEW DR STE 102
City LITTLE ROCK
State AR
Zip Code 72211-4311

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1518526664 James Wesley Johnson Jr. Counselor 415 N Mckinley St Ste 520, Little Rock, AR 72205-3175 2019-06-12
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
1255886560 Amelia H Lewis Counselor 12115 Hinson Rd Ste 400, Little Rock, AR 72212-3476 2016-08-17
1003234675 Jill Gorman Lpc LLC Counselor 1501 N University Ave Ste 700, Little Rock, AR 72207-5297 2014-04-01
1780926857 Ezekeil Kinchen Counselor 3804 W Charles Bussey Ave, 3804 W Chas Bussey Ave, Little Rock, AR 72204-3902 2013-03-26
1285979609 Charles Richard Chamblee Jr. Counselor 11401 I-30, Little Rock, AR 72209-7042 2012-12-11
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Competitor

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City LITTLE ROCK
Zip Code 72211

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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