Organization
PAQUITA R PULLEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAQUITA R PULLEN LPC-MHSP (OWNER/CEO)
(615) 424-7908
Entity
Organization
Contact information
Practice address
110 GLANCY ST STE 203, GOODLETTSVILLE, TN 37072-2313
(615) 424-7908
Mailing address
110 GLANCY ST STE 203, GOODLETTSVILLE, TN 37072-2313
(615) 424-7908
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146773351
—
TN
Enumeration date
04/20/2020
Last updated
04/23/2020
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