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

Takesha Bullock

Individual provider Case Manager/Care Coordinator · NPI 1790445203

Takesha Bullock is a Case Manager/Care Coordinator in Little Rock, Arkansas. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

6601 W 12th St
Little Rock, AR 72204-1513
Phone: (501) 666-8686
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1790445203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2021
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

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