MRS. THADA PULLIAM (NPI# 1396875787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396875787 |
| Entity Type | Individual |
| Full Name | MRS. THADA PULLIAM |
| Credential | LPC |
| Practice Address |
1209 Nw R Idge Dr. C Blue Springs MO 64015 |
| Mailing Address |
619 Ne Bordner Dr Lees Summit MO 64086-6228 |
| Practice Telephone | 8162298080 |
| Mailing Telephone | 8165541415 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1999136662 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1209 NW R IDGE DR. C |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952822819 | Midwest Counselors | Counselor | 803 W Main St Ste B, Blue Springs, MO 64015-3771 | 2017-06-30 |
| 1013464478 | Marilyn S Hillsman | Counselor | 1200 Nw South Outer Rd., Suite 302, Blue Springs, MO 64015-3059 | 2016-09-02 |
| 1437495017 | Tara Yardley Lpc LLC | Counselor | 1133 W Main St, Suite 101, Blue Springs, MO 64015-3694 | 2012-12-31 |
| 1154620821 | Kelly Marie Sears | Counselor | 7920 S 7 Hwy, Blue Springs, MO 64014-5704 | 2011-03-21 |
| 1326343179 | Tara B Yardley | Counselor | 1100 Nw Knox St, Blue Springs, MO 64015-3626 | 2011-01-25 |
| 1003133497 | Jill Allison Curtis | Counselor | 1117 Sw Liggett Ct, Blue Springs, MO 64015-6295 | 2010-04-26 |
| 1497927727 | Melissa Renee Riddle | Counselor | 2129 Nw 13th St, Blue Springs, MO 64015-7734 | 2008-03-26 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1114089992 | Alex Kiefer | Counselor | 5000 Nw Valley View Rd, Blue Springs, MO 64015-2345 | 2006-12-15 |
| 1831250315 | Melinda Rae Trowbridge | Counselor | 3000 Sw 4th St, Blue Springs, MO 64014-4910 | 2006-12-12 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
Please comment or provide details below to improve the information on MRS. THADA PULLIAM.
| 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.