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General NPI Number Information
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NPI Number | 1205797818
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Entity Type | Individual
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Provider Name | ANDREA ELIZABETH PULLY M.ED., LPC,CGP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 5511 MONTVIEW ST
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City | AUSTIN
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State | TX
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Zip | 78756-1609
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Country | US
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Telephone | 512-468-8839
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9910
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City | AUSTIN
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State | TX
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Zip | 78766-0910
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Country | US
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Telephone | 512-468-8839
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12546
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License Number State | TX
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