Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Sullivan, CMP

Individual provider Case Manager/Care Coordinator · NPI 1417193723

Charles Sullivan, CMP is a Case Manager/Care Coordinator in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2008.

Licensed in
AR
In the registry since
2008
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Practice location Address checks out

132 Lowr Ridge RD
Conway, AR 72032-8518
Phone: (501) 548-9905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (AR)

Record details

NPI number1417193723
Entity typeIndividual (Type 1)
GenderMale
Credentials CMP
Sole proprietorNo
NPI enumeratedDecember 17, 2008
Last updated in NPPESAugust 14, 2009
Mailing addressPo Box 1589, Benton, AR 72018-1589

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