Sullivan, Jillian E

Sullivan, Jillian E is an individual health care provider with primary practice located at 3000 S State Road 135 Suite 230, Greenwood IN 46143-9607. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is her primary health care specialty. Sullivan, Jillian E can be contacted via phone (317) 535-0728.

Contact Information

Primary practice address
3000 S State Road 135 Suite 230 Greenwood IN 46143-9607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042704A Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20042704A Indiana
Behavioral Health & Social Service Providers / Health 103TH0004X 20042704A Indiana

Profile Details

NPI number 1114357506
LBN Legal business name Sullivan, Jillian E
Credentials PH.D., HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2013
Last updated Nov 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114357506 NPPES
Indiana Other 000000850729 ANTHEM BCBS
Indiana Other P01569147 ANTHEM BCBS
Indiana Other P01569147 ANTHEM BCBS

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