Organization
EDWARD MARK SULLIVAN
Active
Organization
EDWARD MARK SULLIVAN
Active
Other names
Sullivan Counseling Services LLC, Sullivan Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
PAM REED (BUSINESS MANAGER)
(614) 696-8400
Entity
Organization
Contact information
Practice address
570 N STATE ST STE 220C, WESTERVILLE, OH 43082-8086
(614) 696-8400
(614) 362-9909
Mailing address
570 N STATE ST STE 220C, WESTERVILLE, OH 43082-8086
(614) 696-8400
(614) 362-9909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041581
—
OH
Enumeration date
02/01/2024
Last updated
08/29/2025
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