Provider Demographics
NPI:1366620890
Name:SULLIVAN, KARLI E (LMHC)
Entity type:Individual
Prefix:
First Name:KARLI
Middle Name:E
Last Name:SULLIVAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 W 7TH AVE
Mailing Address - Street 2:MARYCLIFF CENTER, SUITE 300
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2806
Mailing Address - Country:US
Mailing Address - Phone:509-953-6857
Mailing Address - Fax:509-443-6362
Practice Address - Street 1:703 W 7TH AVE
Practice Address - Street 2:MARYCLIFF CENTER, SUITE 300
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2806
Practice Address - Country:US
Practice Address - Phone:509-953-6857
Practice Address - Fax:509-443-6362
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008904101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health