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:
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Health care specialties

SpecialtyCodeLicense #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 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578704078 NPPES
Florida MEDICAID 014378900

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