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

Individual provider Professional Counselor · NPI 1457876062

Stacy L Sullivan, LPC is a Professional Counselor in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2017
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6502 Grand Teton Plz Ste 204
Madison, WI 53719-1047
Phone: (608) 338-1786
Fax: (608) 831-4383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5783-125 (WI)

Record details

NPI number1457876062
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 4, 2017
Last updated in NPPESAugust 4, 2017

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