Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY SULLIVAN
Active Sole ProprietorSTACEY SULLIVAN is a Mental Health Counselor healthcare provider located in VAUGHN, Montana. NPI 1316755994 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · VAUGHN, MT
Registration Details
- NPI Number
- 1316755994
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2024 (1.6053048020447 yrs)
- Last Updated
- Dec 27, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
480 CENTRAL AVEVAUGHN, MT, 594879716Browse MT providers · Browse ZIP 59487
- Phone
- 4067508214
- Primary Specialty
-
Mental Health Counselor
101YM0800X
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.