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

Timothy W Sullivan

Individual provider Counselor · NPI 1215585542

Timothy W Sullivan is a Counselor in Olympia, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

711 State Ave NE
Olympia, WA 98506-3984
Phone: (360) 943-0780
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61302453 (WA)
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X (WA)

Record details

NPI number1215585542
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2019
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022
Mailing address711 State Ave Ne, Olympia, WA 98506-3984

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