Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1033067947 |
| LBN Legal business name | PUCCI LCSW, PLLC |
| Authorized official | PAMELA PUCCI - (MEMBER-MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/17/2026 |
| Last updated | 03/17/2026 - About 3 months ago |
| Identifiers | n/a |
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