MR. JARVIS PAUL BULLOCK
NPI 1033759071
Counselor in New York, NY
- Individual
- Male
- Counselor
About JARVIS BULLOCK
This page provides the complete NPI Profile along with additional information for Jarvis Bullock, a provider established in New York, New York with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1033759071 assigned on January 2020. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1033759071 Verify this NPI
- Provider Name
- MR. JARVIS PAUL BULLOCK
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 184 ELDRIDGE ST NEW YORK, NY 10002
- Location Phone
- (212) 674-9120
- Mailing Address
- 1505 METROPOLITAN AVE APT 5H BRONX, NY 10462
- Mailing Phone
- (203) 550-2309
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-07-2020
- Last Update Date
- 01-07-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License State
- NY
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033759071, enumerated as an "individual" on January 07, 2020.
The provider is located at 184 ELDRIDGE ST NEW YORK, NY 10002 and the phone number is (212) 674-9120.
Counselor with taxonomy code 101Y00000X.
