Nechemyah Donte'-Devon Sullivan, LPC, NCC, ECMHC, CPS
Counselor, Mental Health in Atlanta, GA. Individual provider (NPI-1).
NPI number1487985487
StatusActive
Last updated in NPPESJan 20, 2023
Details
- NPI
- 1487985487
- Entity type
- Individual (NPI-1)
- Name
- Nechemyah Donte'-Devon Sullivan
- Credential
- LPC, NCC, ECMHC, CPS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2010
- Certification date
- Jan 20, 2023
- Last updated
- Jan 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPC007137 | GA | Yes |
| 101YP2500X | Counselor, Professional | LC3047 | MD |
Practice location
315 14th St NwAtlanta, GA 30318-5305
Phone 404-691-8880
Mailing address
315 14th St NwAtlanta, GA 30318-5305
Phone 404-691-8880
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