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

Holly Nicole Sullivan

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205571387

Holly Nicole Sullivan is an Addiction (Substance Use Disorder) Counselor in Fairborn, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

302 W Main St
Fairborn, OH 45324-5037
Phone: (937) 281-4673
Fax: (937) 318-1120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1205571387
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2022
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022

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