Elizabeth Bullock, M.ED.
Individual provider Active NPI Professional Counselor · Covington, KY
NPI 1346501145 · NPPES record last updated Nov 19, 2021
Key facts
- NPI
- 1346501145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 239610 (KY)
- Practice address
- 502 Farrell Dr
Covington, KY 41011-3717 - Phone
- (859) 578-3200
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239610 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 239610 | KY | Yes |
Addresses
Primary practice location
502 Farrell Dr
Covington, KY 41011-3717
Mailing address
503 Farrell Dr
Covington, KY 41011-3775
Phone (859) 578-3200
Other names
- Elizabeth Arnold
Other providers in Covington, KY
- Jazlyn Morgan Brown
- Emily Brunson
- BSD Inc.
- Amanda Budde
- Eleanor Bullock
- Eugene James Burchell Jr.
- Diana Lynn Burchett
- Joseph Burdsall
- Christina Burke
- Melissa Burleigh
All providers in Covington, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2021. 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.