Individual provider · Type 1 NPI

Tarra Lynn Pannullo, MA, NCC

Mental Health Counselor · Pembroke Pines, FL

NPI number 1679965438 Active

Practice location

9000 Sheridan St
Pembroke Pines, FL 33024-8802

Mailing address

1800 Mercy Dr
Orlando, FL 32808-5646

Other practice locations

  • 1800 Mercy Dr, Orlando, FL 32808-5646 · (407) 875-3700

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XIMH21446 (FL)

Mental Health Counselor: Definition to come...

13 other providers at this address

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About NPI 1679965438

Tarra Lynn Pannullo, MA, NCC's National Provider Identifier is 1679965438, issued on Mar 3, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pembroke Pines, FL. The record was last updated on Aug 17, 2022.