Provider Demographics
NPI:1649568544
Name:PULLIAM INNOVATIVE CONSULTING FIRM
Entity Type:Organization
Organization Name:PULLIAM INNOVATIVE CONSULTING FIRM
Other - Org Name:PICF COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:LANEKA
Authorized Official - Last Name:PULLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:804-385-4171
Mailing Address - Street 1:1801 E. BROAD ST.
Mailing Address - Street 2:SUITE C
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7272
Mailing Address - Country:US
Mailing Address - Phone:804-385-4171
Mailing Address - Fax:
Practice Address - Street 1:1801 E BROAD ST
Practice Address - Street 2:SUITE C
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-6974
Practice Address - Country:US
Practice Address - Phone:804-385-4171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health