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DEIDRA BULLOCK
NPI 1215402300
Counselor - Mental Health in Greenwood, MS

Active since October 04, 2018
2504 BROWNING ROAD 520, GREENWOOD, MS 38930(662) 453-6211 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deidra Bullock NPPES

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

DEIDRA BULLOCK (NPI 1215402300) is an individual mental health provider in Greenwood, Mississippi and active in the NPI registry since October 2018. She maintains a secondary practice location in Greenwood.

NPPES Registry Identity

NPI1215402300
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEIDRA BULLOCK
Location Address2504 BROWNING ROAD 520Greenwood, MS 38930-6022
Mailing Address2504 Browning Road 520Greenwood, MS 38930-6022 · (662) 453-6211
Phone(662) 453-6211
Sole ProprietorNo
Enumeration DateOctober 4, 2018
✔ NPI 1215402300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2504 BROWNING ROAD 520, Greenwood, MS 38930
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Secondary Practice Location 1

Location 12504 Browning Road 520Greenwood, MS 38930-6022 · Phone (662) 453-6211 ext. 210

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.

CARLA RHODES
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Leflore County (662) 453-6211
ALEXIS REED
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Leflore County (662) 299-5353
KIMBERLY STREETER MSW, PCMHT
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Leflore County (662) 453-6211
TIMESHA DIANADRIA HENSON
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Leflore County (662) 453-6211
BOBBI JO BECK PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Leflore County (662) 453-6211
SHANEKIA KEMP CMHT
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Leflore County (662) 453-6211
AYLA FLETCHER PCMT
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Leflore County (662) 453-6211
PATRICIA WESTBROOK
Counselor (Mental Health)
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
Leflore County (662) 453-6211

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 Deidra Bullock's NPI number?

The NPI number for Deidra Bullock is 1215402300. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Where is Deidra Bullock located?

Deidra Bullock practices at 2504 Browning Road 520, Greenwood, MS 38930. The listed phone number is (662) 453-6211.

What is Deidra Bullock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Deidra Bullock was last updated on October 4, 2018. 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.