NPI 1003101577

Sullivan Mental Health Services LLC

Organisation Adult Mental Health Clinic/Center Idaho Falls, ID

Practice location

Address: 660 S Woodruff Ave, Idaho Falls, ID 83401-5299
Phone: (208) 523-1558
Fax: (208) 529-4788

Authorised official

Name: Jessie Elaine Sullivan
Title: Owner/Therapist
Phone: (208) 523-1558

Registered specialties (2)

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Other Clinic/Center providers in Idaho →

Adolescent and Children Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI: 1003101577
Entity type: Organization
NPI issued: 13 Jun 2011
Record last updated: 30 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.