Sullivan, Timothy W

Sullivan, Timothy W is an sole proprietor health care provider with primary practice located at 711 State Ave Ne , Olympia WA 98506-3984. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Sullivan, Timothy W can be contacted via phone (360) 943-0780.

Contact Information

Primary practice address
711 State Ave Ne Olympia WA 98506-3984
Phone: (360) 943-0780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG61302453 Washington

Profile Details

NPI number 1215585542
LBN Legal business name Sullivan, Timothy W
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2019
Last updated Apr 20th, 2022 - about 2 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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