Individual
NATALIE DANIELLE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4787 HIGHWAY 151, DOWNSVILLE, LA 71234-5145
(985) 805-6068
(504) 930-4019
Mailing address
PO BOX 792, BASTROP, LA 71221-0792
(318) 283-8887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7751
LA
101YP2500X
Professional Counselor
7751
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417252230
—
LA
Enumeration date
01/17/2019
Last updated
03/20/2025
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