Provider Demographics
NPI:1508557331
Name:PULLEY, KARLEE BROOKE
Entity Type:Individual
Prefix:
First Name:KARLEE
Middle Name:BROOKE
Last Name:PULLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 ALLEN RD # 18N
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-3487
Mailing Address - Country:US
Mailing Address - Phone:931-289-9262
Mailing Address - Fax:
Practice Address - Street 1:150 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-4205
Practice Address - Country:US
Practice Address - Phone:931-802-6338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician