| Doctor Name: | MRS. ANNE BARNES SULLIVAN |
| NPI Number: | 1356443139 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W., L.M.F.T. |
| License Number: | 34003061A |
| Business Practice Address: | 631 N College Ave Bloomington, IN - 474043871 |
| Business Phone Number: | 8123325289 |
| Business Fax Number: | 8123325294 |
| Mailing Address: | 631 N College Ave, BLOOMINGTON |
| State: | IN |
| Postal Code: | 474043871 |
| Phone Number: | 8123325289 |
| Fax Number: | 8123325294 |
| NPI Enumeration Date: | 09/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 34003061A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |