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BRIYANNA BULLOCK M.ED, LPC
NPI 1245900034
Counselor - Professional in Evanston, IL

Active since September 14, 2021
636 CHURCH ST STE 619, EVANSTON, IL 60201(847) 864-0600 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Briyanna Bullock M.ed, Lpc NPPES

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

BRIYANNA BULLOCK M.ED, LPC (NPI 1245900034) is an individual professional provider in Evanston, Illinois, licensed in Illinois (178017357) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1245900034
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBRIYANNA BULLOCKCredential: M.ED, LPC
Location Address636 CHURCH ST STE 619Evanston, IL 60201-4586
Mailing Address4555 N Sheridan Rd Apt 407Chicago, IL 60640-1533
Phone(847) 864-0600
Sole ProprietorYes
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1245900034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178017357
636 CHURCH ST STE 619, Evanston, IL 60201
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Other Providers at the Same Location NPPES 3

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

ANDREW CARTON PSY.D.
Psychologist
636 CHURCH ST STE 619
EVANSTON, IL 60201
Cook County (847) 864-0600
VALERIE ALRES TREWICK
Psychologist (Counseling)
636 CHURCH ST STE 619
EVANSTON, IL 60201
Cook County (773) 697-8839
JENA M CATANIA MA
Psychologist
636 CHURCH ST STE 619
EVANSTON, IL 60201
Cook County (847) 864-0600

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 Briyanna Bullock's NPI number?

The NPI number for Briyanna Bullock is 1245900034. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Briyanna Bullock located?

Briyanna Bullock practices at 636 Church St Ste 619, Evanston, IL 60201. The listed phone number is (847) 864-0600.

What is Briyanna Bullock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Briyanna Bullock was last updated on September 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.