Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY NICOLE SULLIVAN
Active Sole ProprietorHOLLY NICOLE SULLIVAN is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FAIRBORN, Ohio. NPI 1205571387 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · FAIRBORN, OH
Registration Details
- NPI Number
- 1205571387
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2022 (4.2636764019032 yrs)
- Last Updated
- Aug 16, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
302 W MAIN STFAIRBORN, OH, 453245037Browse OH providers · Browse ZIP 45324
- Phone
- 9372814673
- Fax
- 9373181120
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FAIRBORN, OH
| Name | Credential | NPI |
|---|---|---|
| STEPHEN HICKMAN | LCDCIII | 1609190859 |
| CHARLES TIPTON | CDCA | 1508182379 |
| BRENDA KROSS | — | 1235479494 |
| JASON KEATING | — | 1093185100 |
| CIERRA JACKSON | LPCC | 1255706339 |
| MICHAEL I LETTS | LCDCII | 1528514510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.