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

Tiara Shannelle Sullivan, LCAS-A, LCMHCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700656634

Tiara Shannelle Sullivan, LCAS-A, LCMHCA is an Addiction (Substance Use Disorder) Counselor in Greenville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3106 S Memorial Dr Ste B
Greenville, NC 27834-6765
Phone: (252) 916-6048
Fax: (252) 371-1655
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A19778 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-28621 (NC)

Record details

NPI number1700656634
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS-A , LCMHCA
Sole proprietorYes
NPI enumeratedJanuary 2, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

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