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Mr. Ryan Bullard, LCSW,BCD,PMH-C
Clinical Social Worker in Crestview, Florida
NPI 1265072326

Ryan Bullard is a Clinical Social Worker based in Crestview, FL and is specialized in Clinical. Ryan Bullard practices in Crestview, FL and has the professional credentials of LCSW,BCD,PMH-C. The NPI Number for Ryan Bullard is 1265072326 and holds a License No. (Florida).

The current practice location address for Ryan Bullard is 128 John King Rd Ste 18, Crestview, FL and can be reached out via phone at 850-347-5457 and via fax at 850-779-3117.

Location: 128 John King Rd Ste 18, Crestview, FL, 32539-5731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265072326
Provider Name
Ryan Bullard
Credential
LCSW,BCD,PMH-C
Provider Entity Type
Individual
Gender
Male
Address
128 John King Rd Ste 18, Crestview, FL, 32539-5731
Phone Number
850-347-5457
Fax Number
850-779-3117
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
128 John King Rd Ste 18
City
Crestview
State
Florida
Zip
32539-5731
Phone Number
850-347-5457
Fax Number
850-779-3117
person
Provider Business Mailing Address Details
Address
128 John King Rd Ste 18
City
Crestview
State
Florida
Zip
32539-5731
Phone Number
850-347-5457
Fax Number
850-779-3117
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
SW16948 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
SW16948 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
(Florida)
Definition
Definition to come...
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