Sullivan, Laura

Sullivan, Laura is an sole proprietor health care provider with primary practice located at 18 S Indiana St , Mooresville IN 46158-1648. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Sullivan, Laura can be contacted via phone (317) 831-9764.

Contact Information

Primary practice address
18 S Indiana St Mooresville IN 46158-1648
Phone: (317) 831-9764
Fax: (317) 831-9764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001383A Indiana

Profile Details

NPI number 1932266137
LBN Legal business name Sullivan, Laura
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932266137 NPPES
Indiana Other SULLI-1977 COMPCARE
Indiana Other 243733 COMPCARE
Indiana Other 000000238241 COMPCARE

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