Healthcare Provider Details

I. General information

NPI: 1295272920
Provider Name (Legal Business Name): REMY SULLIVAN LMHC, LPC-MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 N MOUNT JULIET RD STE 220
MT JULIET TN
37122-4186
US

IV. Provider business mailing address

288 BEDFORD ST
WHITMAN MA
02382-1820
US

V. Phone/Fax

Practice location:
  • Phone: 615-757-9983
  • Fax:
Mailing address:
  • Phone: 781-447-6425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8946
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: