Individual
NICOLE M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
510 WALNUT ST STE 1425, PHILADELPHIA, PA 19106-3622
(610) 892-3800
(484) 468-1412
Mailing address
510 WALNUT ST STE 1425, PHILADELPHIA, PA 19106-3622
(610) 892-3800
(484) 468-1412
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001484
PA
Other
Enumeration date
02/08/2023
Last updated
10/17/2025
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