Provider Demographics
NPI:1932514643
Name:SULLINS, KAREN A (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:SULLINS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-0098
Mailing Address - Country:US
Mailing Address - Phone:334-320-1449
Mailing Address - Fax:334-383-9485
Practice Address - Street 1:125 SEXTON DR
Practice Address - Street 2:
Practice Address - City:HONORAVILLE
Practice Address - State:AL
Practice Address - Zip Code:36042-2642
Practice Address - Country:US
Practice Address - Phone:334-301-1822
Practice Address - Fax:334-770-1462
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC1994A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional