Search › Tennessee › 1041C0700X
Michael Sullivan-Tibbs, LCSW, LCAC
NPI 1720394562 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1030 Jefferson Ave
Memphis, TN 38104 - Phone
- (317) 748-8710
- Organisation at this address
- Memphis Vamc
Va Medical Center
Seec Recruiting Llc
Vetrans Administration
Memphis Va Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 562
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-14
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 Tennessee