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Organization
SULLIVAN PSYCHOTHERAPY LLC
Active
Organization
SULLIVAN PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANNE SULLIVAN LPC (OWNER/THERAPIST)
(918) 216-0825
Entity
Organization
Contact information
Practice address
8211 E REGAL PL., SUITE 100-103, TULSA, OK 74133
(918) 216-0825
Mailing address
8211 E REGAL PL STE 100, TULSA, OK 74133-7181
(918) 216-0825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
03/12/2022
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