Sullivan, Thomas Mann

Sullivan, Thomas Mann is an individual health care provider with primary practice located at 645 S Rogers St , Bloomington IN 47403. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sullivan, Thomas Mann can be contacted via phone (812) 339-1691.

Contact Information

Primary practice address
645 S Rogers St Bloomington IN 47403
Phone: (812) 339-1691
Fax: (812) 337-2438
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34003025A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001314 Indiana

Profile Details

NPI number 1770568321
LBN Legal business name Sullivan, Thomas Mann
Credentials LCSW LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated May 22nd, 2014 - about 12 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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