MEDICARE: MADELYN ANNE PULLUM ALC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	ALC05786	AL

General Provider Information

NPI Number	:	1942173638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYN ANNE PULLUM ALC

Provider Business Mailing Address
First Line	:	401 HOLMES AVE NE STE F
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4162
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 HOLMES AVE NE STE F
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4162
Country	:	US
Telephone Number	:	256-384-5114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “ MADELYN ANNE PULLUM ALC” Practice Location

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