GRACIELA RUTH PULLIAM MA LMHC NPI 1578704078

NPI Information

  • NPI: 1578704078
  • Provider Name: GRACIELA RUTH PULLIAM, MA LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2425 S VOLUSIA AVE STE B4
    ORANGE CITY, FL
    ZIP 32763
  • Phone: (321) 578-7488

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NPI Details

Graciela Ruth Pulliam, MA LMHC is a mental health counselor in Orange City, FL. Graciela Ruth Pulliam, MA LMHC NPI is 1578704078. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2425 S VOLUSIA AVE STE B4
ORANGE CITY, FL
ZIP 32763-625
Phone: (321) 578-7488

The NPI 1578704078 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/12/2009 and was last updated on 6/14/2023.

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
1101YM0800XCounselorMental HealthMH9913FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1014378900MEDICAIDFLORIDA

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: 11/21/2025

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