Individual
NECHEMYAH DONTE'-DEVON SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, ECMHC, CPS
Contact information
Practice address
315 14TH ST NW, ATLANTA, GA 30318-5305
(404) 691-8880
Mailing address
315 14TH ST NW, ATLANTA, GA 30318-5305
(404) 691-8880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007137
GA
101YP2500X
Professional Counselor
LC3047
MD
Other
Enumeration date
01/15/2010
Last updated
01/20/2023
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