OrganizationActive
Sullivan Mental Health Services LLC
NPI 1003101577 · Adult Mental Health Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1003101577
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jessie Sullivan, Owner/Therapist
Practice location
660 S Woodruff Ave
Idaho Falls, ID 83401-5299
Phone: (208) 523-1558
Fax: (208) 529-4788
Mailing address
660 S Woodruff Ave
Idaho Falls, ID 83401-5299
Registry dates
- Enumerated
- 2011-06-13
- Last updated
- 2011-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.