Healthcare Provider Details

I. General information

NPI: 1164387577
Provider Name (Legal Business Name): TRUYOU HEALTHCARE AND WELLNESS SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 FILSON CT
CHARLOTTE NC
28214-5037
US

IV. Provider business mailing address

2615 FILSON CT
CHARLOTTE NC
28214-5037
US

V. Phone/Fax

Practice location:
  • Phone: 704-449-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GLENDA PULLIAM
Title or Position: NURSE EXECUTIVE
Credential: PMHNP, AGPCNP
Phone: 704-449-6400