GARY HODGES SULLIVAN LPC NPI 1790231207

NPI Information

NPI: 1790231207
Provider Name: GARY HODGES SULLIVAN, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
153 SCHOOL DR
DAHLONEGA, GA
ZIP 30533
Phone: (706) 973-3215
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Gary Hodges Sullivan, LPC is a mental health counselor in Dahlonega, GA. Gary Hodges Sullivan, LPC NPI is 1790231207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

153 SCHOOL DR
DAHLONEGA, GA
ZIP 30533-313
Phone: (706) 973-3215
Fax: (706) 973-3216

The NPI 1790231207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 11/9/2023.

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	101YP2500X	Counselor	Professional	LPC008887	GEORGIA	No
2	101YM0800X	Counselor	Mental Health	LPC008887	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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