Provider Demographics
NPI:1427948652
Name:PULEO, BIANCA NICOLE (LMSW)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:NICOLE
Last Name:PULEO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BIANCA
Other - Middle Name:NICOLE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2943 W FRENCH PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-5310
Mailing Address - Country:US
Mailing Address - Phone:210-482-0017
Mailing Address - Fax:
Practice Address - Street 1:100 E SAN ANTONIO ST STE 101
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5568
Practice Address - Country:US
Practice Address - Phone:512-831-6696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1147711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical