Beronica Sullivan's National Provider Identifier (NPI) Details
Beronica Sullivan, LCSW
NPI: 1790068153
Enumeration Date: 2011-09-22
Last updated: 2020-08-18
Sole Proprietor: NO
Status: active
Postal Address: 4615 GOVERNMENT ST, BATON ROUGE, LA
Phone: 225-922-0478
Primary Practice Address: PO BOX 66558, BATON ROUGE, LA
Practice's phone: 225-246-4700