Provider Demographics
NPI:1619426061
Name:SULLINS ADLAND, HILLARY LYNNE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:HILLARY
Middle Name:LYNNE
Last Name:SULLINS ADLAND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:HILLARY
Other - Middle Name:LYNNE
Other - Last Name:SULLINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:343 S MAIN ST # 209-A
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2137
Mailing Address - Country:US
Mailing Address - Phone:248-345-4927
Mailing Address - Fax:
Practice Address - Street 1:343 S MAIN ST # 209-A
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2137
Practice Address - Country:US
Practice Address - Phone:483-454-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010964041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical