Provider Demographics
NPI:1831902881
Name:PULLIAM COUNSELING & COACHING
Entity type:Organization
Organization Name:PULLIAM COUNSELING & COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:PULLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:901-337-0305
Mailing Address - Street 1:1455 GROVE MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3308
Mailing Address - Country:US
Mailing Address - Phone:901-337-0305
Mailing Address - Fax:901-791-4390
Practice Address - Street 1:1455 GROVE MEADOW CT
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3308
Practice Address - Country:US
Practice Address - Phone:901-337-0305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty