Pulliam, Thada
Pulliam, Thada is an sole proprietor health care provider with primary practice located at 1209 Nw R Idge Dr. C, Blue Springs MO 64015. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pulliam, Thada can be contacted via phone (816) 229-8080.Contact Information
Primary practice address
1209 Nw R Idge Dr. C
Blue Springs MO 64015
Phone: (816) 229-8080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1999136662 | Missouri |
Profile Details
| NPI number | 1396875787 |
|---|---|
| LBN Legal business name | Pulliam, Thada |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
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.
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