Sullivan, John
Sullivan, John is an sole proprietor health care provider with primary practice located at 901 Pavilion Ct , Mcdonough GA 30253-6665. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Sullivan, John can be contacted via phone (678) 814-4375.Contact Information
Primary practice address
901 Pavilion Ct
Mcdonough GA 30253-6665
Phone: (678) 814-4375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC013465 | Georgia |
Profile Details
| NPI number | 1275249112 |
|---|---|
| LBN Legal business name | Sullivan, John |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2023 |
| Last updated | Jan 24th, 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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