Individual
LAKYAH MARIE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281-7376
(678) 982-4483
Mailing address
255 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281-7376
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
GA
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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