MARY BLAKE BULLA (NPI# 1932739638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932739638 |
| Entity Type | Individual |
| Full Name | MARY BLAKE BULLA |
| Credential | LMHC |
| Practice Address |
240 Riverwalk Cir Sunrise FL 33326-2291 |
| Practice Telephone | 9547701175 |
| Mailing Telephone | 9547701175 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
17676 | FL | Behavioral Health & Social Service Providers |
| Street Address |
240 RIVERWALK CIR |
| City | SUNRISE |
| State | FL |
| Zip Code | 33326-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739327 | Rosi Gimeno Therapy, Inc | Counselor | 304 Indian Trace, Suite 933, Weston, FL 33326 | 2020-10-28 |
| 1003425919 | Austin Lee Williams | Counselor | 1398 Sw 160th, Sunrise, FL 33326 | 2020-07-27 |
| 1467086272 | Myriam Taveras D.m.d P.a | Clinic/Center | 15810 West Sr 84, Sunrise, FL 33326 | 2020-03-02 |
| 1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
| 1194375451 | Heather Silversmith | Dietitian, Registered | 1875 North Corporate Lakes Blvd, Suite 300, Weston, FL 33326 | 2019-09-18 |
| 1669039285 | Jennifer Mann | Dietitian, Registered | 1647 Island Way, Weston, FL 33326 | 2019-05-20 |
| 1194283820 | Focused Home Health Agency, Inc. | Home Health | 2394 Weston Rd, Weston, FL 33326 | 2019-03-12 |
| 1083100796 | Comfort Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1398 Sw 160th Avenue, Suite 101, Sunrise, FL 33326 | 2018-07-05 |
| 1356839120 | Vision Optique II LLC | Optometrist | 2200 N Commerce Pkwy Ste 110, Weston, FL 33326 | 2018-04-27 |
| 1033654678 | Sirahaydee Pena-alcantara | Registered Nurse | 1571 Fairlake Trace Apt 1608, Weston, FL 33326 | 2017-01-05 |
| Find all providers in zip 33326 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688245 | Stela Katelieva | Counselor | 9560 Nw 31st Pl, Sunrise, FL 33351-7157 | 2020-10-26 |
| 1003439274 | Marisha A Davis | Counselor | 1670 Nw 58th Ter Apt 1, Sunrise, FL 33313-4753 | 2020-05-22 |
| 1023644903 | Mick Desrameaux | Counselor | 1471 Nw 60th Ave, Sunrise, FL 33313-6222 | 2020-03-23 |
| 1336772110 | Katherine Chaca | Counselor | 1425 Nw 126th Way, Sunrise, FL 33323-3194 | 2020-02-19 |
| 1083272959 | Luis Oscar Monteagudo | Counselor | 717 Shotgun Rd, Sunrise, FL 33326-1966 | 2019-06-05 |
| 1083184378 | Laura Lyew | Counselor | 5448 Nw 90th Ter, Sunrise, FL 33351-7769 | 2018-11-28 |
| 1962914705 | Yumi Esparza | Counselor | 896 Nw 21 Ct, Sunrise, FL 33322-3931 | 2017-11-02 |
| 1740791441 | Juan Diaz | Counselor | 3055 Nw 126th Ave Apt 103, Sunrise, FL 33323-6332 | 2017-10-20 |
| 1225567662 | Maite Blanco | Counselor | 10994 Nw 40 Street, Sunrise, FL 33351 | 2017-06-08 |
| 1366978975 | Keisha Trotman | Counselor | 1590 Nw 128th Dr, Apt 204, Sunrise, FL 33323-5217 | 2017-05-03 |
| Find all providers in SUNRISE | ||||
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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.