Doctor Name: | DR. CHRISTINA MANN SULLIVAN |
NPI Number: | 1225216021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, CRC, NCC, BCBA |
License Number: | |
Business Practice Address: | 127 Promenade Dr C-2 Mooresville, NC - 281176890 |
Business Phone Number: | 7047804235 |
Business Fax Number: | 7047992756 |
Mailing Address: | 183 Crystal Cir, MOORESVILLE |
State: | NC |
Postal Code: | 281179131 |
Phone Number: | 7047804235 |
Fax Number: | 7047992756 |
NPI Enumeration Date: | 02/04/2008 |
NPI Last Update Date: | 10/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |