Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charla Renee Bullard, ATR-BC, LPAT

Individual provider Art Therapist · NPI 1942827365

Charla Renee Bullard, ATR-BC, LPAT is an Art Therapist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
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Practice location Address checks out

1500 E Woodrow Wilson Ave # 117
Jackson, MS 39216-5116
Phone: (601) 362-4471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Art Therapist (primary) Taxonomy 221700000X · Licence PAT0008 (MS)

Record details

NPI number1942827365
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATR-BC , LPAT
Sole proprietorYes
NPI enumeratedJuly 1, 2020
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020

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