SOPHIA ADDRIENNE PULLEN (NPI# 1104330042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104330042 |
| Entity Type | Individual |
| Full Name | SOPHIA ADDRIENNE PULLEN |
| Credential | CDCA |
| Practice Address |
1 Elizabeth Pl Ste D Dayton OH 45417-3445 |
| Practice Telephone | 9372222233 |
| Practice Fax Number | 9372229665 |
| Mailing Telephone | 9372222233 |
| Mailing Fax Number | 9372229665 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1 ELIZABETH PL STE D |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962518019 | Lita R Budiamal | Anesthesiology | 1 Elizabeth Pl Ste D, Dayton, OH 45408-1445 | 2006-08-22 |
| 1992312300 | Nicole M Walker | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2020-09-29 |
| 1659922615 | Hannah Joy Carr | Physician Assistant | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2019-09-21 |
| 1689149809 | Quan James Wang | Family Medicine | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-10-04 |
| 1942791991 | Carissa Marie Cantelupe | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-05-25 |
| 1962990135 | Qiying She | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-04-24 |
| 1114425535 | Dayton Pain Center LLC | Clinical Medical Laboratory | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-01-31 |
| 1225546823 | Sherri Lynn Underwood | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-01-17 |
| 1922512821 | Amber Mckinney | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-30 |
| 1205349362 | Dayton Pain Center LLC | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| 1578170056 | Taylor Katherine Bevins | Counselor | 856 Hyde Park Dr, Dayton, OH 45429-5840 | 2020-09-28 |
| 1528689676 | Yvonne Marie Randel | Counselor | 519 County Road 4011, Dayton, TX 77535-7386 | 2020-04-29 |
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1477190312 | Tewanna Hawkins | Counselor | 4352 Catalina Ave, Dayton, OH 45416-1302 | 2019-12-10 |
| 1588206718 | Iris Marie Blanchard | Counselor | 329 Imogene Rd, Dayton, OH 45405-5208 | 2019-10-09 |
| 1891345559 | Larry S Baxter IIi | Counselor | 612 Gramont Ave, Dayton, OH 45402-5439 | 2019-09-16 |
| 1992354286 | Eden E Mcdonald | Counselor | 1592 Joselin Rd, Dayton, OH 45432-3647 | 2019-09-09 |
| 1730746942 | Kimberly Billingsley | Counselor | 212 N Orchard Ave, Dayton, OH 45417-2453 | 2019-05-22 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on SOPHIA ADDRIENNE PULLEN.
| 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.