Provider Demographics
NPI:1316793029
Name:BLUE SKY COUNSELING PLLC
Entity type:Organization
Organization Name:BLUE SKY COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:J
Authorized Official - Last Name:PULIAFICO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-826-2004
Mailing Address - Street 1:77 BIRCHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2105
Mailing Address - Country:US
Mailing Address - Phone:508-826-2004
Mailing Address - Fax:
Practice Address - Street 1:77 BIRCHWOOD RD
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2105
Practice Address - Country:US
Practice Address - Phone:508-826-2004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty