Tanisha Bullard is a Counselor based in Shreveport, LA. Tanisha Bullard practices in Shreveport, LA. The NPI Number for Tanisha Bullard is 1043871759 and holds a License No. NA (Louisiana).
The current practice location address for Tanisha Bullard is 3341 Youree Dr, Shreveport, LA and can be reached out via phone at 318-219-4364.
Location: 3341 Youree Dr, Shreveport, LA, 71105-2149
Provider Profile Details
NPI Number
1043871759
Provider Name
Tanisha Bullard
Credential
Provider Entity Type
Individual
Gender
Female
Address
3341 Youree Dr, Shreveport, LA, 71105-2149
Phone Number
318-219-4364
Fax Number
Provider Enumeration Date
06/24/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
3341 Youree Dr
City
State
Zip
71105-2149
Phone Number
318-219-4364
Fax Number
Provider Business Mailing Address Details
Address
3341 Youree Dr
City
State
Zip
71105-2149
Phone Number
318-219-4364
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
NA (Mississippi)
Definition
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.
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