SULLIVAN MANAGEMENT LLC NPI 1811721046

NPI Information

  • NPI: 1811721046
  • Provider Name: SULLIVAN MANAGEMENT LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • CLIA Number: 19D2311357
  • Address: 1002 N 6TH ST
    MONROE, LA
    ZIP 71201
  • Phone: (318) 789-1773

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NPI Details

SULLIVAN MANAGEMENT LLC is a rehabilitation and substance use disorder clinic center in Monroe, LA. SULLIVAN MANAGEMENT LLC NPI is 1811721046. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1002 N 6TH ST
MONROE, LA
ZIP 71201-536
Phone: (318) 789-1773

The provider's authorized official is Cecilia Sullivan .
The authorized official title is Ceo and has the following contact phone number (318) 789-1773.

The CLIA number assigned to this NPI record is 19D2311357 - other - counseling office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2024 and was last updated on 3/10/2025.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 3/30/2025

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