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NPI Code Detail

MEDICARE: NICOLE D SULLIVAN LPC

MEDICARE: NICOLE D SULLIVAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3344LA

General Provider Information

NPI Number : 1295681583
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE D SULLIVAN LPC
Provider Business Mailing Address
First Line : 827 BELLEMEADE BLVD
Second Line :
City : GRETNA
State : LA
Zip : 70056-7633
Country : US
Telephone Number : 504-444-4241
Fax Number : 504-838-5321
Provider Business Practice Location Address
First Line : 827 BELLEMEADE BLVD
Second Line :
City : GRETNA
State : LA
Zip : 70056-7633
Country : US
Telephone Number : 504-444-4241
Fax Number : 504-838-5321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ NICOLE D SULLIVAN LPC” Practice Location

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