SearchTennessee1041C0700X

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 Center
Inferred 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