Provider Demographics
NPI:1003702648
Name:PSYCHOLOGY AND WELLNESS BY SULLIVAN CONSULTING, LLC
Entity type:Organization
Organization Name:PSYCHOLOGY AND WELLNESS BY SULLIVAN CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:P
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-253-2584
Mailing Address - Street 1:1225 US 27 S
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2144
Mailing Address - Country:US
Mailing Address - Phone:786-597-8543
Mailing Address - Fax:954-301-8142
Practice Address - Street 1:1225 US 27 S STE 209
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2145
Practice Address - Country:US
Practice Address - Phone:786-597-8543
Practice Address - Fax:954-301-8142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty