Active NPIIndividual providerSole proprietor

Andrea Prairie Tulley, LPC

Counselor, Professional in Canton, Connecticut

NPI Number1679610505
Practice location
50 Albany Turnpike, Suite #5022, Canton, CT 06019
Fax
—
Last updated
July 8, 2007

Andrea Prairie Tulley is a Counselor, Professional based in Canton, CT. Andrea Prairie Tulley practices in Canton, CT and has the professional credentials of LPC. The NPI Number for Andrea Prairie Tulley is 1679610505 and holds a License No. 001460 (CT). The current practice location address for Andrea Prairie Tulley is 50 Albany Turnpike, Suite #5022, Canton, CT 06019 and can be reached out via phone at 860-490-8084.

Provider Profile Details

NPI Number
1679610505
Provider Name
Andrea Prairie Tulley
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
50 Albany Turnpike, Suite #5022, Canton, CT 06019
Phone Number
860-490-8084
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Albany Turnpike
Suite #5022
Canton, CT 06019
City
Canton
Zip
06019
Phone Number
860-490-8084
Canton, CT 06019Get directions →

Provider Business Mailing Address Details

Address
33 Dartmouth Drive
Canton, CT 06019
City
Canton
State
CT
Zip
06019

License Information

License Number
001460
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea Prairie Tulley, LPC?

The NPI number of Andrea Prairie Tulley, LPC is 1679610505. It was assigned on January 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Andrea Prairie Tulley, LPC?

Andrea Prairie Tulley, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 001460.

Where does Andrea Prairie Tulley, LPC practice?

The practice location is 50 Albany Turnpike, Suite #5022, Canton, CT 06019. The office can be reached at 860-490-8084 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679610505 directly on the NPPES registry website.

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