Individual
SHERVISA L SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 W AIRLINE HWY STE H, LA PLACE, LA 70068-3817
(985) 618-3403
(985) 618-3404
Mailing address
9334 PINE CONE CT, BATON ROUGE, LA 70809-9617
(225) 276-3558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
LA
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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