Provider Demographics
NPI:1356733109
Name:PULLINS, PATRICIA LAJO (LMSW)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LAJO
Last Name:PULLINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 BAMMEL LN APT 1004
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1146
Mailing Address - Country:US
Mailing Address - Phone:713-521-1632
Mailing Address - Fax:
Practice Address - Street 1:2828 BAMMEL LN APT 1004
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1146
Practice Address - Country:US
Practice Address - Phone:713-521-1632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40954104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker