FANCI RAE PULLIAM LCPC NPI 1831625664

NPI Information

NPI: 1831625664
Provider Name: FANCI RAE PULLIAM, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1800 19TH AVE S
CENTER FOR MENTAL HEALTH/SUNNYSIDE
GREAT FALLS, MT
ZIP 59405
Phone: (406) 761-2100
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Fanci Rae Pulliam, LCPC is a mental health counselor in Great Falls, MT. Fanci Rae Pulliam, LCPC NPI is 1831625664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 19TH AVE S
CENTER FOR MENTAL HEALTH/SUNNYSIDE
GREAT FALLS, MT
ZIP 59405-130
Phone: (406) 761-2100
Fax: (406) 791-9629

The enumeration date for this NPI number is 5/11/2017 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	17543	MONTANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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