Rivera, Sully

Rivera, Sully is an sole proprietor health care provider with primary practice located at 210 Krassner Dr Nw , Palm Bay FL 32907-6937. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rivera, Sully can be contacted via phone (787) 504-6247.

Contact Information

Primary practice address
210 Krassner Dr Nw Palm Bay FL 32907-6937
Phone: (787) 504-6247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3347 Puerto Rico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH27362 Florida

Profile Details

NPI number 1164651691
LBN Legal business name Rivera, Sully
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2009
Last updated Aug 20th, 2025 - about last year

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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