person
Ms. Takia L Bullock, MSW
Mental Health Counselor in Lauderdale Lakes, Florida
NPI 1871897108

Takia L Bullock is a Mental Health Counselor based in Miami Gardens, FL and is specialized in Mental Health. Takia L Bullock practices in Lauderdale Lakes, FL and has the professional credentials of MSW. The NPI Number for Takia L Bullock is 1871897108 and holds a License No. (Florida).

The current practice location address for Takia L Bullock is 3500 N State Road 7, Lauderdale Lakes, FL and can be reached out via phone at 305-491-6104 and via fax at 954-391-9902.

Location: 3500 N State Road 7, Lauderdale Lakes, FL, 33055-2841
person
Provider Profile Details
NPI Number
1871897108
Provider Name
Takia L Bullock
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
3500 N State Road 7, Lauderdale Lakes, FL, 33055-2841
Phone Number
305-491-6104
Fax Number
954-391-9902
Provider Enumeration Date
12/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3500 N State Road 7
City
State
Zip
33319-5600
Phone Number
305-491-6104
Fax Number
954-391-9902
person
Provider Business Mailing Address Details
Address
3500 N State Road 7
City
State
Zip
33319-5600
Phone Number
305-491-6104
Fax Number
954-391-9902
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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