| Adria Sullivan Pc | |
|
315 S Salem St Ste 424 Apex NC 27502-1863 | |
| (317) 504-1852 | |
| Not Available |
| Full Name | Adria Sullivan Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 315 S Salem St Ste 424, Apex, North Carolina |
| Authorized Official Name and Position | Adria Sullivan (PRESIDENT) |
| Authorized Official Contact | 3175041852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adria Sullivan Pc 5329 Maplechase Ln Apex NC 27539-4163 Ph: (317) 504-1852 | Adria Sullivan Pc 315 S Salem St Ste 424 Apex NC 27502-1863 Ph: (317) 504-1852 |
| NPI Number | 1982274049 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982274049 | NPI | - | NPPES |
| 1902030521 | Other | IN | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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