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JUSTIN BULLOCK
NPI 1083274161
Counselor - School in Philadelphia, PA

Active since June 19, 2019
1420 WALNUT ST STE 1350, PHILADELPHIA, PA 19102(215) 664-3200 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Bullock NPPES

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

JUSTIN BULLOCK (NPI 1083274161) is an individual school provider in Philadelphia, Pennsylvania and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1083274161
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameJUSTIN BULLOCK
Location Address1420 WALNUT ST STE 1350Philadelphia, PA 19102-4019
Mailing Address2506 Chatham RdLansing, MI 48910-2406 · (267) 774-7088
Phone(215) 664-3200
Sole ProprietorYes
Enumeration DateJune 19, 2019
✔ NPI 1083274161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
1420 WALNUT ST STE 1350, Philadelphia, PA 19102
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Other Providers at the Same Location NPPES 9

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

VICTORIA MARIE LEGOWSKI MFT
Marriage & Family Therapist
1420 WALNUT ST STE 1350
PHILADELPHIA, PA 19102
Philadelphia County (215) 664-3200
MR. EMMANUEL JEAN-RENE RICHARD LMSW
Social Worker
1420 WALNUT ST STE 1350
PHILADELPHIA, PA 19102
Philadelphia County (215) 664-3200
MONIQUE HEDGE
Counselor (Addiction (Substance Use Disorder))
1420 WALNUT ST STE 1350
PHILADELPHIA, PA 19102
Philadelphia County (215) 664-3200
HUMPHREY JABATEH MHS
Counselor (Mental Health)
1420 WALNUT ST STE 1350
PHILADELPHIA, PA 19102
Philadelphia County (215) 664-3201
SHERELLE INGRAM M.ED.
Counselor (Mental Health)
1420 WALNUT ST STE 1350
PHILADELPHIA, PA 19102
Philadelphia County (215) 664-3200
MR. EUGENE DWE-MLE FREEMAN
Behavior Analyst
1420 WALNUT ST STE 1350
PHILADELPHIA, PA 19102
Philadelphia County (215) 664-3200
DR. LYNDA MITCHELL EDD, CTRS, CPRP
Recreation Therapist
1420 WALNUT ST STE 1350
PHILADELPHIA, PA 19102
Philadelphia County (215) 664-3200
MEEGAN HUSSAIN MT-BC
Music Therapist
1420 WALNUT ST STE 1350
PHILADELPHIA, PA 19102
Philadelphia County (215) 664-3200

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 Justin Bullock's NPI number?

The NPI number for Justin Bullock is 1083274161. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Justin Bullock located?

Justin Bullock practices at 1420 Walnut St Ste 1350, Philadelphia, PA 19102. The listed phone number is (215) 664-3200.

What is Justin Bullock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Justin Bullock was last updated on June 19, 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.