Sullivan, Laura

Sullivan, Laura is an sole proprietor health care provider with primary practice located at 305 E Falls St # 1 , Ithaca NY 14850-3705. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sullivan, Laura can be contacted via phone (607) 342-3451.

Contact Information

Primary practice address
305 E Falls St # 1 Ithaca NY 14850-3705
Phone: (607) 342-3451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29392 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 093937 New York

Profile Details

NPI number 1881066785
LBN Legal business name Sullivan, Laura
Credentials LCSW, CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2015
Last updated Apr 9th, 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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