Provider Demographics
NPI:1851090492
Name:SULLIVAN, DARIA ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:DARIA
Middle Name:ELIZABETH
Last Name:SULLIVAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 STRAWBERRY HILL CT APT 5D
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2524
Mailing Address - Country:US
Mailing Address - Phone:973-738-6025
Mailing Address - Fax:
Practice Address - Street 1:1 STRAWBERRY HILL CT APT 5D
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2524
Practice Address - Country:US
Practice Address - Phone:973-738-6025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005997101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health