Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tarra Lynn Pannullo, MA, NCC

Individual provider Case Manager/Care Coordinator · NPI 1679965438

Tarra Lynn Pannullo, MA, NCC is a Case Manager/Care Coordinator in Pembroke Pines, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

9000 Sheridan St
Pembroke Pines, FL 33024-8802
Phone: (954) 440-6386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH21446 (FL)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1679965438
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , NCC
Sole proprietorNo
NPI enumeratedMarch 3, 2015
Last updated in NPPESAugust 17, 2022
Certification dateAugust 3, 2022

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