# GABRIELLE SULLIVAN LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215548748
- **Authorized official:** GABRIELLE ELIZABETH SULLIVAN LICSW, LIMHP, CMSW (PSYCHOTHERAPIST)
- **Authorized official phone:** (402) 995-9277

## Contact information

- **Practice address:** 2900 S 70TH ST STE 160, LINCOLN, NE 68506-3733
- **Practice address phone:** (402) 995-9277
- **Practice address fax:** (402) 477-8284
- **Mailing address:** 2900 S 70TH ST STE 160, LINCOLN, NE 68506-3733
- **Mailing address phone:** (402) 995-9277
- **Mailing address fax:** (402) 477-8284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2020
- **Last updated:** 08/17/2020