Brown, Star Sullivan
Brown, Star Sullivan is an individual health care provider with primary practice located at 7160 Tchulahoma Rd , Southaven MS 38671-9266. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brown, Star Sullivan can be contacted via phone (662) 536-3132.Contact Information
Primary practice address
7160 Tchulahoma Rd
Southaven MS 38671-9266
Phone: (662) 536-3132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P011078 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1033651807 |
|---|---|
| LBN Legal business name | Brown, Star Sullivan |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2016 |
| Last updated | Dec 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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