Healthcare Provider Details

I. General information

NPI: 1720995681
Provider Name (Legal Business Name): MAGGIE A SULLIVAN MS, LMFT-T
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3127 SW HUNTOON ST STE D
TOPEKA KS
66604-1600
US

IV. Provider business mailing address

3127 SW HUNTOON ST STE D
TOPEKA KS
66604-1600
US

V. Phone/Fax

Practice location:
  • Phone: 785-755-7561
  • Fax:
Mailing address:
  • Phone: 785-755-7561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number03881
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: