Tanisha Bullard

NPI 1043871759 · on the registry since 2019

Practice

Address: 3341 Youree Dr
Shreveport, LA 71105
Phone: (318) 219-4364
Organisation at this address: Mmo Of Shreveport, Llc
Ronald A Goebel & Mark P Vigen Ptr
M. Todd Lobrano, Psychologist, L.L.C.
Shelley Visconte, Psychologist, L.L.C.
Trburks Behavioral Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 98

Registry record

Primary taxonomy: Counselor
101Y00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana