Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH ALAN SULLIVAN
Active Sole ProprietorKEITH ALAN SULLIVAN is a Mental Health Clinic healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1396062873 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1396062873
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2010 (16.269644729917 yrs)
- Last Updated
- Apr 23, 2010
- License
-
77-0700929 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5005 N PENNSYLVANIA AVE103OKLAHOMA CITY, OK, 731128886Browse OK providers · Browse ZIP 73112
- Phone
- 4057534269
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Other Mental Health Clinic Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTTIE L HASKINS JR. | PH.D. | 1184761553 |
| KRISTY MCCUNE | M.S., BHCM-II | 1295913036 |
| VILMAN ANDRE | MA | 1457674707 |
| MS. JULIE A RANDLE | — | 1043537814 |
| MRS. DANIELLE MONIQUE FIELDS | LPC | 1114225422 |
| SASHA ROGERS | BHRS | 1245519578 |
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.