RICHARD SULLIVAN (NPI# 1821567611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821567611 |
| Entity Type | Individual |
| Full Name | RICHARD SULLIVAN |
| Practice Address |
1525 Fullilove Dr Bossier City LA 71112-3346 |
| Mailing Address |
2000 Fairfield Avenue Shreveport LA 71104 |
| Practice Telephone | 3187471111 |
| Practice Fax Number | 3183173333 |
| Mailing Telephone | 3182228511 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4146 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578985479 | Richard A Sullivan | Counselor | 26 Viden Rd, Quincy, MA 02169-7907 | 2014-01-10 |
| 1568695864 | Richard John Sullivan | Massage Therapist | 3524 Se Stark St, Portland, OR 97214-3154 | 2009-09-02 |
| 1467676700 | Richard Hugh Sullivan | Dentist | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2007-04-11 |
| 1841325461 | Richard James Sullivan | Contractor | 2155 Ne 187th St, North Miami Beach, FL 33179-4311 | 2007-02-22 |
| 1275607624 | Richard Joseph Sullivan | Internal Medicine | 7904 Turin Rd, Rome, NY 13440-1933 | 2006-11-20 |
| 1023127651 | Richard Michael Sullivan | Social Worker | 410 Gidney Ave Stop 3, Newburgh, NY 12550-3764 | 2006-08-29 |
| 1528075785 | Richard Sullivan | Pharmacist | 863 W Foothill Blvd, Claremont, CA 91711-3302 | 2006-08-01 |
| 1588694434 | Richard M Sullivan | Social Worker | 5420 Shimerville Rd, Clarence, NY 14031-1118 | 2006-07-04 |
| 1285014993 | Richard Hugh Sullivan Iv | Dentist | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2015-06-08 |
| 1407272529 | Richard Henry Sullivan IIi | Physician Assistant | 3400 Old Milton Pkwy Ste 190, Alpharetta, GA 30005-3707 | 2014-03-13 |
| Street Address |
1525 FULLILOVE DR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71112-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306356803 | Kimberly Sue Powell | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2017-10-10 |
| 1285269928 | Jacquline Webb | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2020-03-03 |
| 1205476074 | Victoria Porter | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2020-01-09 |
| 1255800041 | Eric Scott Burt | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2018-11-21 |
| 1356810147 | Amanda Curry | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2018-11-21 |
| 1487123279 | Jill Lampshire | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2018-11-21 |
| 1679084925 | Mary Teresa Willcox | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2017-10-13 |
| 1689184087 | Lisa Bybee Olvey | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810349 | Brittany Ariel Boone | Case Manager/Care Coordinator | 2323 Old Minden Rd Ste 500, Bossier City, LA 71112 | 2018-05-03 |
| 1396254520 | Abartllc | Non-emergency Medical Transport (VAN) | 400 John Wesley Blvd Apt 195, Bossier City, LA 71112 | 2017-09-19 |
| 1124547708 | Kendra Webster | Counselor | 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 | 2017-09-14 |
| 1851818009 | Latonya Renee' Williams | Case Manager/Care Coordinator | 5383 Bluebell Dr, Bossier City, LA 71112 | 2017-08-28 |
| 1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
| 1861925240 | Kyanna Williams Cosby | Counselor | 4009 Parkway Dr, Bossier City, LA 71112 | 2017-04-04 |
| 1962858191 | Jemeel Latrice Webb | Case Manager/Care Coordinator | 1787 Southview Drive, Bossier City, LA 71112 | 2016-05-06 |
| 1174986244 | Jaquitua Russell | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 1, Bossier City, LA 71112 | 2016-04-05 |
| 1528423175 | Deanna Lorraine Edwards | Contractor | 4007 Parkway Dr, Bossier City, LA 71112 | 2015-12-28 |
| 1700258605 | Derrick Thomas | Counselor | 2601 Hoyer St, Bossier City, LA 71112 | 2015-10-30 |
| Find all providers in zip 71112 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266922 | Kayla Richards | Counselor | 6201 Venecia Dr, Bossier City, LA 71111-7448 | 2020-05-16 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1902325947 | Marjorie Alden Murphy | Counselor | 2200 General Mcnair Dr, Bossier City, LA 71112-4758 | 2017-09-11 |
| 1043761323 | Erin Shocklee | Counselor | 2182 Stockwell Rd, Bossier City, LA 71111-5754 | 2016-10-20 |
| 1134585714 | Jeff Leach | Counselor | 1800 Bayou Cir, Bossier City, LA 71112-4037 | 2016-01-12 |
| 1407243009 | Katherine Swagger | Counselor | 4407 Deidra St, Bossier City, LA 71111-5230 | 2015-04-21 |
| 1194099259 | Shannon K Fowler | Counselor | 1515 Doctors Dr Ste 16, Bossier City, LA 71111 | 2012-03-06 |
| 1285269928 | Jacquline Webb | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2020-03-03 |
| 1205476074 | Victoria Porter | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2020-01-09 |
| 1255800041 | Eric Scott Burt | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2018-11-21 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71112 |
Please comment or provide details below to improve the information on RICHARD 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.