Holly Nicole Sullivan, - Counselor in Fairborn, OH

Holly Nicole Sullivan, is a Counselor - Addiction (substance Use Disorder) based in Fairborn, Ohio. Holly Nicole Sullivan is licensed to practice in * (Not Available) (license number ) and her current practice location is 302 W Main St, Fairborn, Ohio. She can be reached at her office (for appointments etc.) via phone at (937) 281-4673.

NPI number for Holly Nicole Sullivan is 1205571387 and her current mailing address is 3103 Dixie Hwy, Hamilton, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205571387.

Contact Information

Holly Nicole Sullivan,
302 W Main St,
Fairborn, OH 45324-5037
(937) 281-4673
(937) 318-1120

Map and Direction


Healthcare Provider's Profile

Full NameHolly Nicole Sullivan
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location302 W Main St, Fairborn, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205571387
  • Provider Enumeration Date: 05/03/2022
  • Last Update Date: 08/16/2022

Medical Identifiers

Medical identifiers for Holly Nicole Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205571387NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Nicole Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holly Nicole Sullivan,
3103 Dixie Hwy,
Hamilton, OH 45015-1653

Ph: (513) 892-4673
Holly Nicole Sullivan,
302 W Main St,
Fairborn, OH 45324-5037

Ph: (937) 281-4673

Reviews and Comments


Counselor in Fairborn, OH

Sonia M Rapp,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 302 W Main St, Fairborn, OH 45324
Phone: 937-262-3508    Fax: 937-318-8918
Tyshawna Frazer-new,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2320 Laguna Ct Unit 206, Fairborn, OH 45324
Phone: 937-532-8624    
Jason Keating,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1082 Whitetail Dr, Fairborn, OH 45324
Phone: 614-787-3247    
Sophia Alridge, BS, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 594 East Dayton Yellow Springs Road, Fairborn, OH 45324
Phone: 937-701-6631    
Mrs. Heidi K Bruner, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1016 Rainbow Ct, Fairborn, OH 45324
Phone: 937-641-3401    
Lisa Chase-miller,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 302 W Main St, Fairborn, OH 45324
Phone: 937-281-4673    Fax: 937-318-1120
Mr. Timothy Ray Beverly, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 302 W Main St, Fairborn, OH 45324
Phone: 937-281-4673    

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