SearchMinnesota1041C0700X

Robert Sullivan, LICSW

NPI 1548224355 · on the registry since 2006

Practice

Address
1930 Coon Rapids Blvd
Family Life Mental Health Center
Coon Rapids, MN 55433
Phone
(763) 427-7964
Fax
(763) 427-7976
Clinicians at this address
8

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota