ERIC SULLIVAN (NPI# 1538412804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538412804 |
| Entity Type | Individual |
| Full Name | ERIC SULLIVAN |
| Credential | LPC, LMFT |
| Practice Address |
5107 N Rhett Ave Charleston SC 29405-4219 |
| Practice Telephone | 4109244786 |
| Mailing Telephone | 4109244786 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6510 | SC | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 93601 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 01261511 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659911 | Eric Sullivan | Pharmacist | 180 N 3400 W, Hurricane, UT 84737-3031 | 2020-11-03 |
| 1811550098 | Eric Sullivan | Pharmacist | 4425 Venetucci Blvd, Colorado Springs, CO 80906-4013 | 2019-04-15 |
| 1326507567 | Eric Sullivan | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-03-18 |
| 1144716598 | Eric Scott Sullivan | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2018-07-09 |
| 1730467945 | Eric L Sullivan | Psychologist | 2231 N High St, Columbus, OH 43201-1194 | 2011-07-22 |
| 1689771636 | Eric M Sullivan | Family Medicine | 920 Country Club Rd, Suite 200a, Eugene, OR 97401-6024 | 2006-09-20 |
| Street Address |
5107 N RHETT AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29405-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514555 | Melissa-miles Dunn | Counselor | 451 Folly Rd Ste 107, Charleston, SC 29412-2640 | 2020-09-28 |
| 1497379150 | Catherine Fliszar | Counselor | 3245 Glenn Mcconnell Pkwy Unit 801, Charleston, SC 29414-8161 | 2020-05-28 |
| 1003439225 | Lauren Whatley | Counselor | 652 Rutledge Ave Unit A, Charleston, SC 29403-4297 | 2020-05-21 |
| 1891322483 | Katherine Jane Eldean | Counselor | 751 Lake Frances Dr, Charleston, SC 29412-4342 | 2020-03-24 |
| 1114567864 | Amber Mariah Clark | Counselor | 4 Carriage Ln Ste 405, Charleston, SC 29407-6024 | 2020-01-10 |
| 1891291290 | Damon Mark Mckenzie | Counselor | 107 S. Hancock, Charleston, AR 72933 | 2018-04-04 |
| 1770090011 | Mary Jo Selbe | Counselor | 305 20th St Se, Charleston, WV 25304-1003 | 2018-01-09 |
| 1780197665 | Courtney Klacza | Counselor | 2122 Egret Crest Ln, Charleston, SC 29414-6073 | 2017-11-14 |
| 1780136556 | Jennifer L Gregan | Counselor | 718 Bigley Avenue, Charleston, WV 25302 | 2016-10-27 |
| 1588111603 | Amber Alena Gunno | Counselor | 713 Bigley Avenue, Charleston, WV 25362 | 2016-09-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on ERIC SULLIVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.