BRENNA MARIE O'SULLIVAN LCPC-C NPI 1588256333

NPI Information

NPI: 1588256333
Provider Name: BRENNA MARIE O'SULLIVAN, LCPC-C
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
52 COVE ST
PORTLAND, ME
ZIP 04101
Phone: (207) 956-5977
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Brenna Marie O'sullivan, LCPC-C is a mental health counselor in Portland, ME. Brenna Marie O'sullivan, LCPC-C NPI is 1588256333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

52 COVE ST
PORTLAND, ME
ZIP 04101-514
Phone: (207) 956-5977

The enumeration date for this NPI number is 2/3/2021 and was last updated on 2/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	XL5915	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	XL5915	OTHER	MAINE	STATE OF MAINE BOARD OF COUNSELING PROFESSIONALS LICENSURE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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