National Provider Identifier
Tamara Sullivan, LMHC
Tamara Sullivan, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Brockport, NY and a listed phone number of (585) 329-7853.
Profile Overview
- NPI
- 1346634151
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 19, 2015
- Last Updated
- March 19, 2015
Practice Location
- 4107 Lake RD N
- Brockport, NY 14420-1519
Phone: (585) 329-7853
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1346634151
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Tamara
- Name Prefix
- Dr.
- Credential
- LMHC
- Mailing Street Address
- 4107 Lake RD N
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1519
- Mailing Country
- US
- Mailing Phone
- (585) 329-7853
- Practice Street Address
- 4107 Lake RD N
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1519
- Practice Country
- US
- Practice Phone
- (585) 329-7853
- Enumeration Date
- March 19, 2015
- Last Updated
- March 19, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)