person
Tiara Shannelle Sullivan, LCAS-A,LCMHCA
Mental Health Counselor in Greenville, North Carolina
NPI 1700656634

Tiara Shannelle Sullivan is a Mental Health Counselor based in Sanford, NC and is specialized in Mental Health. Tiara Shannelle Sullivan practices in Greenville, NC and has the professional credentials of LCAS-A,LCMHCA. The NPI Number for Tiara Shannelle Sullivan is 1700656634 and holds a License No. LCAS-28621 (North Carolina).

The current practice location address for Tiara Shannelle Sullivan is 3106 S Memorial Dr Ste B, Greenville, NC and can be reached out via phone at 252-916-6048 and via fax at 252-371-1655.

Location: 3106 S Memorial Dr Ste B, Greenville, NC, 27331-2382
person
Provider Profile Details
NPI Number
1700656634
Provider Name
Tiara Shannelle Sullivan
Credential
LCAS-A,LCMHCA
Provider Entity Type
Individual
Gender
Female
Address
3106 S Memorial Dr Ste B, Greenville, NC, 27331-2382
Phone Number
252-916-6048
Fax Number
252-371-1655
Provider Enumeration Date
01/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3106 S Memorial Dr Ste B
City
State
Zip
27834-6765
Phone Number
252-916-6048
Fax Number
252-371-1655
person
Provider Business Mailing Address Details
Address
3106 S Memorial Dr Ste B
City
State
Zip
27834-6765
Phone Number
252-916-6048
Fax Number
252-371-1655
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A19778 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCAS-28621 (North Carolina)
Definition
Definition to come...
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