| Organization Name: | KRISTEN SULLIVAN LMHC |
| NPI Number: | 1821468737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTEN SULLIVAN (OWNER) |
| Mailing Address: | 844 Franklin St Unit 8 Wrentham |
| State: | MA US |
| Postal Code: | 020931223 |
| Phone Number: | 7748479650 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2015 |
| NPI Last Update Date: | 10/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |