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NPI Code Detail

MEDICARE: TRINITY SULLIVAN

MEDICARE: TRINITY SULLIVAN
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 CounselorC.2507247OH

General Provider Information

NPI Number : 1326817677
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINITY SULLIVAN
Provider Business Mailing Address
First Line : 992 ABBE RD N
Second Line :
City : ELYRIA
State : OH
Zip : 44035-1638
Country : US
Telephone Number : 440-406-5323
Fax Number :
Provider Business Practice Location Address
First Line : 992 ABBE RD N
Second Line :
City : ELYRIA
State : OH
Zip : 44035-1638
Country : US
Telephone Number : 440-406-5323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2023
Last Update Date : 12/11/2025

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Directions to “ TRINITY SULLIVAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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