# EASTER SEALS UCP ASAP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ASAP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770640203
- **Authorized official:** MRS. LISA SULLIVAN SULLIVAN (DIRECTOR OF SUPPORT SERVICES)
- **Authorized official phone:** (919) 784-9182

## Contact information

- **Practice address:** 134 WIND CHIME CT, RALEIGH, NC 27615-6433
- **Practice address phone:** (919) 784-9182
- **Practice address fax:** (919) 784-9184
- **Mailing address:** 3801 LAKE BOONE TRL, RALEIGH, NC 27607-2934
- **Mailing address phone:** (919) 784-9182
- **Mailing address fax:** (919) 784-9184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020