Sullivan, Vicroria Lynn

Sullivan, Vicroria Lynn is an individual health care provider with primary practice located at 710 S Holly St , Siloam Springs AR 72761-3304. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sullivan, Vicroria Lynn can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
710 S Holly St Siloam Springs AR 72761-3304
Phone: (479) 750-2020
Fax: (479) 524-5197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0304018 Arkansas

Profile Details

NPI number 1467497099
LBN Legal business name Sullivan, Vicroria Lynn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1467497099 NPPES
Arkansas Other 5Y705 BLUE SHIELD PROIVDER #

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