Sullivan, Adria
Sullivan, Adria is an individual health care provider with primary practice located at 13300 All American Rd , Fishers IN 46037-7185. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sullivan, Adria can be contacted via phone (317) 504-1852.Contact Information
Primary practice address
13300 All American Rd
Fishers IN 46037-7185
Phone: (317) 504-1852
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1902030521 |
|---|---|
| LBN Legal business name | Sullivan, Adria |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2009 |
| Last updated | Apr 16th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902030521 | NPPES |
| Indiana | MEDICAID | 100270530A |
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