| Ryan Bullard, Lcsw | |
|
128 John King Rd Ste 18 Crestview FL 32539-5731 | |
| (850) 347-5457 | |
| (850) 779-3117 |
| Full Name | Ryan Bullard, Lcsw |
|---|---|
| Speciality | Counselor |
| Location | 128 John King Rd Ste 18, Crestview, Florida |
| Authorized Official Name and Position | Ryan Bullard (CEO) |
| Authorized Official Contact | 8503475457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Bullard, Lcsw 128 John King Rd Ste 18 Crestview FL 32539-5731 Ph: (850) 347-5457 | Ryan Bullard, Lcsw 128 John King Rd Ste 18 Crestview FL 32539-5731 Ph: (850) 347-5457 |
| NPI Number | 1235707472 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 0244603660 |
|---|---|
| Medicare Enrollment ID | O20230307000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235707472 | NPI | - | NPPES |
| Provider Name | Ryan Bullard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265072326 PECOS PAC ID: 1153794573 Enrollment ID: I20230307000040 |
Bridgeway Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 W James Lee Blvd, Crestview, FL 32536 Phone: 850-689-7827 Fax: 850-689-7828 | |
Ascent Christian Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 N Ferdon Blvd, Crestview, FL 32536 Phone: 850-603-0941 | |
Star Behavior Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Hickory Ave, Crestview, FL 32536 Phone: 850-329-8641 | |
S.a.v.e.d Behavioral Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2838 Patriot Ridge Dr, Crestview, FL 32539 Phone: 850-450-2379 | |
Ppcc, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 259 E Oakdale Ave, Crestview, FL 32539 Phone: 850-398-5255 Fax: 850-689-8799 | |
Solaris Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Ashley Dr, Crestview, FL 32536 Phone: 352-478-4005 Fax: 352-478-4006 | |
Crestview Neurology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 535 S Ferdon Blvd, Suite C, Crestview, FL 32536 Phone: 850-423-4664 Fax: 850-398-8824 |