Larry G Bullard, MS
Individual provider Active NPI Mental Health Counselor · Moulton, AL
NPI 1013075845 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013075845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 317 Hospital St
Moulton, AL 35650-1269 - Phone
- (256) 355-6105
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Center of North Central Alabama Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
317 Hospital St
Moulton, AL 35650-1269
Mailing address
1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305
Other providers in Moulton, AL
- Charles Wayne Borden
- Jared Graham Boyles
- Corey Britton
- Camilla Lynn Brown
- Misti Michelle Brown
- Kelly Anne Burdette
- Michelle Burleson
- Billi Nelson Byrd
- Taraniio Antonio Byrd
- Tabitha Cahela
All providers in Moulton, AL · Mental Health Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.