Stacy M Pulley, LPC, MA | |
121 S 5th St, Wills Point, TX 75169-2569 | |
(903) 312-4259 | |
Not Available |
Full Name | Stacy M Pulley |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 121 S 5th St, Wills Point, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760746200 | NPI | - | NPPES |
3185217 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 65761 (Texas) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
---|---|
Stacy M Pulley, LPC, MA 603 Vz County Road 2512, Canton, TX 75103-3805 Ph: (903) 312-4259 | Stacy M Pulley, LPC, MA 121 S 5th St, Wills Point, TX 75169-2569 Ph: (903) 312-4259 |
Mr. Roberto Guerrero Iii, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1647 Vz County Road 3908, Wills Point, TX 75169 Phone: 972-658-8117 | |
Elizabeth Ann Collins-lee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36549 Hwy. 64, Wills Point, TX 75169 Phone: 903-873-4488 | |
Mrs. Jackie Winton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S 5th St, Wills Point, TX 75169 Phone: 903-292-7366 |