Organization
COUNSELING BY MEGGAN SULLIVAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGGAN SULLIVAN LCSW (THERAPIST)
(602) 730-4730
Entity
Organization
Contact information
Practice address
2435 E SOUTHERN AVE STE 2, TEMPE, AZ 85282-7628
(602) 730-4730
Mailing address
2124 E BOWKER ST, PHOENIX, AZ 85040-3419
(602) 730-4730
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
LCSW-13529
AZ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LCSW-13529
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z163793
—
AZ
Enumeration date
10/04/2017
Last updated
06/11/2019
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