Individual
PHYLLIS NEAL GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-2395
(678) 990-3997
Mailing address
2849 SUSSEX CLOSE, LITHIA SPRINGS, GA 30122-2764
(770) 856-8030
(770) 784-3022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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