Sullivan, Eric

Sullivan, Eric is an sole proprietor health care provider with primary practice located at 5107 N Rhett Ave , Charleston SC 29405-4219. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sullivan, Eric can be contacted via phone (410) 924-4786.

Contact Information

Primary practice address
5107 N Rhett Ave Charleston SC 29405-4219
Phone: (410) 924-4786
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6510 South Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 93601 California

Profile Details

NPI number 1538412804
LBN Legal business name Sullivan, Eric
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2012
Last updated Jan 31st, 2018 - about 7 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

Identifiers

StateTypeNumberIssuer
All States NPI 1538412804 NPPES
California MEDICAID 01261511

Popular Providers