Aliyah Bullock
Aliyah Bullock is a Community/Behavioral Health Agency in Monroe, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1401 Hudson Ln Ste 135Monroe, LA 71201-6037
Phone: (318) 651-0086
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1093389090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2021 |
| Last updated in NPPES | May 17, 2021 |
| Certification date | May 17, 2021 |
| Mailing address | 1401 Hudson Ln Ste 135, Monroe, LA 71201-6037 |
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