SALLY SULLIVAN (NPI# 1073907697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073907697 |
| Entity Type | Individual |
| Full Name | SALLY SULLIVAN |
| Credential | LPC |
| Practice Address |
1202 Office Park Dr. Suite A Oxford MS 38655 |
| Practice Telephone | 6628016940 |
| Practice Fax Number | 6622343535 |
| Mailing Telephone | 6628016940 |
| Mailing Fax Number | 6622343535 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1969 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174940 | Sally Sullivan | Counselor | 4001 Office Court Dr Ste 102, Santa Fe, NM 87507-4903 | 2019-09-24 |
| 1609223205 | Sally Sullivan | Nurse Anesthetist, Certified Registered | 971 Lakeland Dr, Jackson, MS 39216-4643 | 2016-05-24 |
| Street Address |
1202 OFFICE PARK DR. SUITE A |
| City | OXFORD |
| State | MS |
| Zip Code | 38655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295129815 | Sullivan Counseling Services, LLC | Counselor | 1202 Office Park Dr., Suite A, Oxford, MS 38655 | 2015-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899978 | Kbccms, LLC | Counselor | 1501 Jackson Ave W Ste 113, Oxford, MS 38655-2566 | 2020-10-20 |
| 1407415052 | Mind Body Well Therapy, Pllc | Counselor | 160 Christian St, Oxford, CT 06478-1221 | 2019-06-07 |
| 1811453301 | Anna Davis Mahaffey | Counselor | 308 Enterprise Dr, Oxford, MS 38655-2944 | 2019-02-20 |
| 1598240814 | Jamie Rachael Taylor | Counselor | 224 County Road 303, Oxford, MS 38655-8357 | 2018-10-02 |
| 1912489311 | Jordyn Elyse Fisher | Counselor | 2b S Washington St, Oxford, MI 48371-4971 | 2018-08-31 |
| 1164915005 | Robyn Marie Ankawi | Counselor | 930 E Drahner Rd, Oxford, MI 48371 | 2018-06-13 |
| 1356858658 | Janna Coleman | Counselor | 507 Heritage Dr Ste 102, Oxford, MS 38655-5571 | 2018-01-08 |
| 1104378926 | Kayla Lynn Thrushman | Counselor | 2b. S. Washington Ave., Oxford, MI 48371 | 2016-10-27 |
| 1659746808 | Rosemary Ritterhaus | Counselor | 150 Stony Lake Dr, Oxford, MI 48371-6739 | 2015-12-13 |
| 1780026211 | Tiffany Hickman-gaines | Counselor | 1323 Hamric Dr E Ste A, Oxford, AL 36203-1917 | 2013-07-25 |
| Find all providers in OXFORD | ||||
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| 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.