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TANISHA BULLARD
NPI 1043871759
Counselor in Shreveport, LA

Active since June 24, 2019
3341 YOUREE DR, SHREVEPORT, LA 71105(318) 219-4364 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanisha Bullard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANISHA BULLARD (NPI 1043871759) is an individual counselor in Shreveport, Louisiana, licensed in Mississippi (NA) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1043871759
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTANISHA BULLARD
Location Address3341 YOUREE DRShreveport, LA 71105-2149
Mailing Address3341 Youree DrShreveport, LA 71105-2149 · (318) 219-4364
Phone(318) 219-4364
Sole ProprietorNo
Enumeration DateJune 24, 2019
✔ NPI 1043871759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MS · NA
Definition
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.
3341 YOUREE DR, Shreveport, LA 71105
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNIE HOLMES
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 219-4167
ANIKA C SIMMONS
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 621-0910
LINDA SUE JONES
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 200-7209
MMO OF SHREVEPORT, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3341 YOUREE DR, SUITE 102
SHREVEPORT, LA 71105
Caddo Parish (318) 688-6228
KHAIRAH ALI-ALLEN
Counselor (Mental Health)
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 219-4167
LAMONICA BROWN
Behavior Analyst
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 401-5925
DESTINY JACKSON M.A., PLPC, PLMFT
Counselor (Mental Health)
3341 YOUREE DR, 101
SHREVEPORT, LA 71105
Caddo Parish (318) 219-4171
KATE HARRIS
Peer Specialist
3341 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 219-4167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanisha Bullard's NPI number?

The NPI number for Tanisha Bullard is 1043871759. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Tanisha Bullard located?

Tanisha Bullard practices at 3341 Youree Dr, Shreveport, LA 71105. The listed phone number is (318) 219-4364.

What is Tanisha Bullard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tanisha Bullard was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.