Individual
ANDREA KAYE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
16 MOULTON ST E, DECATUR, AL 35601-2310
(256) 822-2375
Mailing address
251 JOHNSTON ST SE STE 100, DECATUR, AL 35601-2515
(256) 822-2375
(256) 584-2330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3066
AL
Other
Enumeration date
05/20/2008
Last updated
01/17/2023
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