# ALYSSA SULLIVAN THERAPY, PLLC

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

## Provider details

- **NPI number:** 1528772118
- **Authorized official:** ALYSSA HUTCHESON SULLIVAN LCSW (PSYCHOTHERAPIST)
- **Authorized official phone:** (210) 316-4740

## Contact information

- **Practice address:** 8133 MESA DR STE 104, AUSTIN, TX 78759-8655
- **Practice address phone:** (512) 543-4349
- **Practice address fax:** (512) 985-2929
- **Mailing address:** 8133 MESA DR STE 104, AUSTIN, TX 78759-8655
- **Mailing address phone:** (512) 543-4349

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2023
- **Last updated:** 01/09/2023