IndividualActive
Kylie Tibbetts
NPI 1225716541 · Professional Counselor · Sullivan, IL
Provider details
- NPI number
- 1225716541
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
114 N Main St
Sullivan, IL 61951-1506
Phone: (601) 207-0774
Approximate (ZIP-level) locationGet directions
Mailing address
114 N Main St
Sullivan, IL 61951-1506
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.