Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE WAYNE SULLIVAN, LPC
Active Sole ProprietorProfessional Counselor · GULFPORT, MS
Registration Details
- NPI Number
- 1508836537
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2006 (20.270648740781 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0727 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
450 E PASS RDSTE. 3GULFPORT, MS, 395073212Browse MS providers · Browse ZIP 39507
- Phone
- 2286040099
- Fax
- 2286042001
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFREY L BENNETT | LCSW | 1740214089 |
| MS. LISA K CRAIN | MED,LSW,CMHT | 1144254491 |
| CHRISTINE ANNETTE SMOTHERS | L.P.C. | 1790799138 |
| JANE DESERN CAREY | LPC | 1740329200 |
| CHRISTINA MARIE LADD | LMHC | 1053567834 |
| MRS. JENNIFER LEE HANEY | LPC | 1841426525 |
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.