Healthcare Provider Details

I. General information

NPI: 1841189693
Provider Name (Legal Business Name): TEASIA LACHEA PULLEY CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2025
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 OAKLAND RD
ASHEVILLE NC
28801-4728
US

IV. Provider business mailing address

124 OAKLAND RD
ASHEVILLE NC
28801-4728
US

V. Phone/Fax

Practice location:
  • Phone: 980-420-1953
  • Fax:
Mailing address:
  • Phone: 980-420-1953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number454265
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number454265
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number454265
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: