Doctor Name: | MRS. CHRISTINE STYLES SULLIVAN |
NPI Number: | 1124338918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C |
License Number: | 7820 |
Business Practice Address: | 800 W Williams St Suite 231-p Apex, NC - 275025203 |
Business Phone Number: | 9197956942 |
Business Fax Number: | 9194004490 |
Mailing Address: | 905 Oakwater Dr, GARNER |
State: | NC |
Postal Code: | 275294168 |
Phone Number: | 9197956942 |
Fax Number: | 9194004490 |
NPI Enumeration Date: | 10/14/2010 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |