MRS. ROSHANDA EVETTE PULLIAM SAC-IT NPI 1760205504

NPI Information

  • NPI: 1760205504
  • Provider Name: MRS. ROSHANDA EVETTE PULLIAM, SAC-IT
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 2801 INTERNATIONAL LN STE 205
    MADISON, WI
    ZIP 53704
  • Phone: (608) 241-4285

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NPI Details

MRS. Roshanda Evette Pulliam, SAC-IT is a counselor in Madison, WI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Roshanda Evette Pulliam, SAC-IT NPI is 1760205504. 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:

2801 INTERNATIONAL LN STE 205
MADISON, WI
ZIP 53704-152
Phone: (608) 241-4285
Fax: (608) 241-4286

The enumeration date for this NPI number is 10/31/2024 and was last updated on 10/31/2024.

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
1101Y00000XCounselor20298-130WISCONSINYes

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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