Jeffrey Sullo, LPC
Counselor, Professional in Bethany, Connecticut
1508292475- Practice location
- 27 Green Hill RD, Bethany, CT 06524-3324
- Phone
- 203-931-5621
- Fax
- —
- Last updated
- November 13, 2020
Jeffrey Sullo is a Counselor, Professional based in Bethany, CT. Jeffrey Sullo practices in Bethany, CT and has the professional credentials of LPC. The NPI Number for Jeffrey Sullo is 1508292475 and holds a License No. 3074 (CT). The current practice location address for Jeffrey Sullo is 27 Green Hill RD, Bethany, CT 06524-3324 and can be reached out via phone at 203-931-5621.
Provider Profile Details
- NPI Number
- 1508292475
- Provider Name
- Jeffrey Sullo
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 27 Green Hill RD, Bethany, CT 06524-3324
- Phone Number
- 203-931-5621
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 23, 2013
- Last Update Date
- November 13, 2020
- Certification Date
- November 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 27 Green Hill RD
Bethany, CT 06524-3324 - City
- Bethany
- State
- Connecticut
- Zip
- 06524-3324
- Phone Number
- 203-931-5621
Provider Business Mailing Address Details
- Address
- 27 Green Hill RD
Bethany, CT 06524-3324 - City
- Bethany
- State
- CT
- Zip
- 06524-3324
- Phone Number
- 203-931-5621
License Information
- License Number
- 3074
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeffrey Sullo, LPC?
The NPI number of Jeffrey Sullo, LPC is 1508292475. It was assigned on September 23, 2013 and is currently active in the NPPES registry.
What is the specialty of Jeffrey Sullo, LPC?
Jeffrey Sullo, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 3074.
Where does Jeffrey Sullo, LPC practice?
The practice location is 27 Green Hill RD, Bethany, CT 06524-3324. The office can be reached at 203-931-5621 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508292475 directly on the NPPES registry website.