Sullivan, Laura

Sullivan, Laura is an sole proprietor health care provider with primary practice located at 140 Gibson St , Ukiah CA 95482. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, 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 (707) 468-5536.

Contact Information

Primary practice address
140 Gibson St Ukiah CA 95482
Phone: (707) 468-5536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 79901 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 79901 California

Profile Details

NPI number 1972910750
LBN Legal business name Sullivan, Laura
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2014
Last updated May 31st, 2018 - about 8 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.

Request for update

Popular Providers