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

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1396943650

Mrs. Katherine Moore Sullivan, RNBSN is a Mental Health Clinic/Center (Including Community Mental Health Center) in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
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Practice location Address checks out

3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone: (706) 432-4858
Fax: (706) 432-3780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence RN119347 (GA)

Record details

NPI number1396943650
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNBSN
Sole proprietorYes
NPI enumeratedJuly 10, 2007
Last updated in NPPESJuly 10, 2007

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