IndividualActive
Alicia Sullivan
NPI 1194492728 · Social Worker · Greenwood, MS
Provider details
- NPI number
- 1194492728
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
522 W Park Ave Ste Q-R
Greenwood, MS 38930-2906
Phone: (662) 374-5029
Approximate (ZIP-level) locationGet directions
Mailing address
860 E River Pl Ste 100
Jackson, MS 39202-3442
Registry dates
- Enumerated
- 2021-08-23
- Last updated
- 2021-08-23
- Certified
- 2021-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.