| Doctor Name: | STACY M PULLEY |
| NPI Number: | 1760746200 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, MA |
| License Number: | 65761 |
| Business Practice Address: | 121 S 5th St Wills Point, TX - 751692569 |
| Business Phone Number: | 9033124259 |
| Business Fax Number: | |
| Mailing Address: | 603 Vz County Road 2512, CANTON |
| State: | TX |
| Postal Code: | 751033805 |
| Phone Number: | 9033124259 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2012 |
| NPI Last Update Date: | 02/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 65761 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |