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

Kimberly Sullivan

Individual provider Mental Health Counselor · NPI 1629818810

Kimberly Sullivan is a Mental Health Counselor in Douglasville, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4185 Clarks Trl
Douglasville, GA 30135-8686
Phone: (678) 667-1886
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1629818810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address4185 Clarks Trl, Douglasville, GA 30135-8686

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