Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ryan Bullard, LCSW, BCD, PMH-C

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265072326

Mr. Ryan Bullard, LCSW, BCD, PMH-C is an Addiction (Substance Use Disorder) Counselor in Crestview, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

128 John King Rd Ste 18
Crestview, FL 32539-5731
Phone: (850) 347-5457
Fax: (850) 779-3117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW16948
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (FL)
Mental Health Counselor Taxonomy 101YM0800X
School Social Worker Taxonomy 1041S0200X · Licence SW16948

Record details

NPI number1265072326
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , BCD , PMH-C
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESFebruary 26, 2023
Certification dateFebruary 26, 2023

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