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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORETTA SULLIVAN, IDD WAIVER SERVICES

Active

LORETTA SULLIVAN, IDD WAIVER SERVICES is a Day Training/Habilitation healthcare provider located in HATTIESBURG, Mississippi. NPI 1437875416 is currently active in the NPPES registry. Verify at CMS.

Day Training/Habilitation · HATTIESBURG, MS

Registration Details

NPI Number
1437875416
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2022 (3.8536815446659 yrs)
Last Updated
Oct 12, 2022

Practice Information

Address
41 BONHOMIE RD
HATTIESBURG, MS, 394018648
Browse MS providers · Browse ZIP 39401
Phone
6014500274
Primary Specialty
Day Training/Habilitation
373H00000X

Other Day Training/Habilitation Providers in HATTIESBURG, MS

Name Credential NPI
JESSICA FOSTER CIDDT 1528782216
ASHANTI JOHNSON PCMHT 1689398331
LANITA HENDERSON CIDDT 1295459964
KIRONA BACOT 1053035659
DELANEY ANDERSON 1861116444
MARY BUCKLEY 1487378931
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.