Pulliam, Graciela Ruth
Pulliam, Graciela Ruth is an sole proprietor health care provider with primary practice located at 2425 S Volusia Ave Ste B4 , Orange City FL 32763-7625. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pulliam, Graciela Ruth can be contacted via phone (321) 578-7488.Contact Information
Primary practice address
2425 S Volusia Ave Ste B4
Orange City FL 32763-7625
Phone: (321) 578-7488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH9913 | Florida |
Profile Details
| NPI number | 1578704078 |
|---|---|
| LBN Legal business name | Pulliam, Graciela Ruth |
| Credentials | MA LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2009 |
| Last updated | Jun 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578704078 | NPPES |
| Florida | MEDICAID | 014378900 |
Popular Providers
-
Coe, Laura
1156 S Carpenter Ave , Orange City FL 32763-7009 -
Tejada Nunez, Brenda E
745 W Lansdowne Ave , Orange City FL 32763-4713 -
Spellman, David A
265 E Graves Ave , Orange City FL 32763-5213 -
Hewett, Martha
1211 3Rd St , Orange City FL 32763-4111 -
Langrick, Michele Ann
582 N Volusia Ave , Orange City FL 32763-4802 -
Cella, Judy(Judith) Ann
2425 S Volusia Ave Suite B-4, Orange City FL 32763-7625 -
Romero, Ana
2425 S Volusia Ave Ste B4 , Orange City FL 32763-7625 -
Davis, Marie A.
2425 S Volusia Ave Suite B-4, Orange City FL 32763-7625