Individual
MRS. ALYSSA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8133 MESA DR STE 104, AUSTIN, TX 78759-8655
(210) 316-4740
Mailing address
8133 MESA DR STE 104, AUSTIN, TX 78759-8655
(210) 316-4740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
61953
TX
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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