TANISHA BULLARD NPI 1043871759

NPI Information

Tanisha Bullard is a counselor in Shreveport, LA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Tanisha Bullard NPI is 1043871759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3341 YOUREE DR
SHREVEPORT, LA
ZIP 71105-149
Phone: (318) 219-4364

The enumeration date for this NPI number is 6/24/2019 and was last updated on 6/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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