Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael A Sullivan-Tibbs, LCSW, LCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720394562

Dr. Michael A Sullivan-Tibbs, LCSW, LCAC is an Addiction (Substance Use Disorder) Counselor in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2010
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1030 Jefferson Ave
Memphis, TN 38104-2127
Phone: (317) 748-8710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34005914A (IN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 87000061A (IN)

Record details

NPI number1720394562
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LCAC
Sole proprietorYes
NPI enumeratedAugust 30, 2010
Last updated in NPPESFebruary 14, 2019

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