NPI | 1023764479 |
---|---|
Doing Business As | BRANDI SULLIVAN LCSW LLC |
Entity Type | Organization |
Authorized Contact | BRANDI SULLIVAN Owner 813-751-4804 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2024-09-03 |