PAQUITA R PULLEN, LLC (NPI# 1518587690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518587690 |
| Entity Type | Organization |
| Organization Name | PAQUITA R PULLEN, LLC |
| Practice Address |
110 Glancy St Ste 203 Goodlettsville TN 37072-2313 |
| Practice Telephone | 6154247908 |
| Mailing Telephone | 6154247908 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | PAQUITA R PULLEN (OWNER/CEO) |
| Authorized Official Telephone | 6154247908 |
| Authorized Official Credential | LPC-MHSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 146773351 | 05 |
| Street Address |
110 GLANCY ST STE 203 |
| City | GOODLETTSVILLE |
| State | TN |
| Zip Code | 37072-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467743351 | Paquita Renee Pullen | Counselor | 110 Glancy St Ste 203, Goodlettsville, TN 37072-2313 | 2011-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336651140 | Listen Hear LLC | Hearing Aid Equipment | 758 Rivergate Pkwy, Goodlettsville, TN 37072 | 2017-11-02 |
| 1023551140 | Joshua Shallcross | Physical Therapy Assistant | 2182 Gallatin Pike North, Goodlettsville, TN 37072 | 2016-11-21 |
| 1578858924 | Joy R Grimes | Nurse Practitioner | 913 Conference Dr Ste 103, Goodlettsville, TN 37072 | 2011-06-14 |
| 1558552620 | Integrative Health Community | Specialist | 400 Professional Park Dr., Suite 201, Goodlettsville, TN 37072 | 2007-08-05 |
| 1669662573 | Lisa Kathryn Spencer | Physical Therapist | 813 South Dickerson Road, Goodletsville, TN 37072 | 2007-07-26 |
| 1760684799 | Counseling Services of Middle Tn, LLC | Social Worker | 420 North Main St, Goodlettsville, TN 37072 | 2007-06-01 |
| 1881818649 | Alejandrina M. Goldberg | Registered Nurse | 1242 Twelve Stones Crossing, Goodlettsville, TN 37072 | 2007-04-12 |
| 1811012792 | Hal T Farmer | Chiropractor | 511 Rivergate Pkwy, Goodlettsville, TN 37072 | 2007-03-20 |
| 1417009440 | Michael A Rhodes Sr. | Family Medicine | 105. B. Memorial Dr., Suite B, Goodlettsville, TN 37072 | 2007-01-18 |
| 1417017039 | Gwendolyn Carney | Occupational Therapist | 813 S. Dickerson Rd, Goodlettsville, TN 37072 | 2006-12-12 |
| Find all providers in zip 37072 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316573199 | Omni Community Health | Clinic/Center | 740 Conference Drive, Suite 101, Goodlettsville, TN 37072-2084 | 2020-03-12 |
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| 1184269573 | Greeneville Counseling and Consultation | Clinic/Center | 1107 Temple St Ste 406, Greeneville, TN 37745-6357 | 2019-11-09 |
| 1033752597 | Tms of East Tennessee Pllc | Clinic/Center | 10241 Kingston Pike Ste 2, Knoxville, TN 37922-3240 | 2019-10-28 |
| 1104469931 | Trailhead Treatment Center | Clinic/Center | 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 | 2019-10-24 |
| 1801437785 | Open Door Treatment Center Inc | Clinic/Center | 3622 Merritt St, Memphis, TN 38128-3734 | 2019-10-02 |
| 1316597354 | Innovative Care Solutions | Clinic/Center | 4582 W Andrew Johnson Hwy, Morristown, TN 37814-1038 | 2019-09-11 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1073165254 | Faraday Chattanooga PC | Clinic/Center | 6031 Shallowford Rd Ste 113, Chattanooga, TN 37421-1984 | 2019-07-09 |
| 1255993960 | Pathways Counseling Center Inc | Clinic/Center | 1833 Ward Dr Ste 102, Murfreesboro, TN 37129-0558 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.