MRS. PATRICIA TAMMETTE BULLOCK (NPI# 1386093078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386093078 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA TAMMETTE BULLOCK |
| Credential | PLPC |
| Practice Address |
622 Riverside Dr Monroe LA 71201-6211 |
| Mailing Address |
56 Rattlesnake Rd Mangham LA 71259-5332 |
| Practice Telephone | 3183980945 |
| Mailing Telephone | 3185376220 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6359 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679862817 | Patricia Bullock | Nurse Practitioner | 126 W Central Ave, Petal, MS 39465-2314 | 2011-03-28 |
| 1609009877 | Patricia J. Bullock | Counselor | 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952 | 2009-09-03 |
| 1073713889 | Patricia Bullock | Physical Therapist | 101 Uhland Rd Ste 112, San Marcos, TX 78666-6681 | 2007-07-19 |
| Street Address |
622 RIVERSIDE DR |
| City | MONROE |
| State | LA |
| Zip Code | 71201-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124356910 | Southern Center for Children and Families, Inc. | Clinic/Center | 622 Riverside Dr, Monroe, LA 71201-6211 | 2009-12-07 |
| 1104431840 | Kaitlyn Jackson Hall | Case Manager/Care Coordinator | 622 Riverside Dr, Monroe, LA 71201-6211 | 2020-09-10 |
| 1609499276 | Cassidy Mansur | Case Manager/Care Coordinator | 622 Riverside Dr, Monroe, LA 71201-6211 | 2020-05-18 |
| 1871127795 | Joy Alexandria Miller | Case Manager/Care Coordinator | 622 Riverside Dr, Monroe, LA 71201-6211 | 2020-02-29 |
| 1437798618 | Kaitlin Renee Ganey | Case Manager/Care Coordinator | 622 Riverside Dr, Monroe, LA 71201-6211 | 2020-01-05 |
| 1720620990 | Sarah Appalucci-coleman | Case Manager/Care Coordinator | 622 Riverside Dr, Monroe, LA 71201-6211 | 2019-10-09 |
| 1295383404 | Vincent Bernard Butcher Sr. | Case Manager/Care Coordinator | 622 Riverside Dr, Monroe, LA 71201-6211 | 2019-08-30 |
| 1629624374 | Meghan Davis Dugan | Case Manager/Care Coordinator | 622 Riverside Dr, Monroe, LA 71201-6211 | 2019-08-16 |
| 1407402704 | Jose Manuel Calles IIi | Counselor | 622 Riverside Dr, Monroe, LA 71201-6211 | 2019-08-13 |
| 1447804968 | Macy Avery | Case Manager/Care Coordinator | 622 Riverside Dr, Monroe, LA 71201-7120 | 2019-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902060 | Lisa Tolmich Haughey | Counselor | 2658 Sleepy Hollow Rd, Monroe, GA 30655-5584 | 2020-04-28 |
| 1487280764 | Hope and Purpose Counseling LLC | Counselor | 204 S Macomb St, Monroe, MI 48161-2121 | 2020-03-18 |
| 1154956688 | Joseph Danso Manu | Counselor | 115 E Fambrough St Apt 123b, Monroe, GA 30655-2858 | 2020-03-05 |
| 1699314997 | John Samaha | Counselor | 1518 11th St Ste 1-4, Monroe, WI 53566-1701 | 2020-01-03 |
| 1760039549 | Tom Wayne Triplett | Counselor | 2321 Highway 80 East, Monroe, LA 71203-7120 | 2019-08-26 |
| 1881255347 | Elnita Totarsha Ottey | Counselor | 2908 Eagle View Ln, Monroe, NC 28110-6315 | 2019-06-25 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1841774056 | Life Healing Therapy, LLC Lauren M Fontana Sole Mbr | Counselor | 324 Elm St Ste 105b, Monroe, CT 06468-2283 | 2018-09-24 |
| 1477030310 | Oscar Kelly | Counselor | 111 E 1st St Ste 200, Monroe, MI 48161-2265 | 2018-07-24 |
| 1972090413 | Sharyn Stokes | Counselor | 116 E Phifer St, Monroe, NC 28110-3035 | 2018-04-19 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.