| Cbullard Counseling Services Llc | |
|
7958 Highway 79 S Pine Bluff AR 71603-4541 | |
| (870) 489-5454 | |
| Not Available |
| Full Name | Cbullard Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 7958 Highway 79 S, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Cynthia D Bullard (CLINICIAN) |
| Authorized Official Contact | 8704895454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbullard Counseling Services Llc Po Box 1251 Pine Bluff AR 71613-1251 Ph: (870) 489-4177 | Cbullard Counseling Services Llc 7958 Highway 79 S Pine Bluff AR 71603-4541 Ph: (870) 489-5454 |
| NPI Number | 1568298446 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 8921531286 |
|---|---|
| Medicare Enrollment ID | O20241025001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568298446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cynthia D Bullard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972201747 PECOS PAC ID: 0749713006 Enrollment ID: I20241025001720 |
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