1. Home
  2. Directory
  3. Tennessee
  4. Bolivar
  5. Counselor
  6. NPI Profile

BRUCE WILKS LADAC
NPI 1376389882
Counselor - Addiction (Substance Use Disorder) in Bolivar, TN

Active since July 03, 2024
793 TENNESSEE ST, BOLIVAR, TN 38008(731) 228-9068(901) 425-9773 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce Wilks Ladac NPPES

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

BRUCE WILKS LADAC (NPI 1376389882) is an individual addiction (substance use disorder) provider in Bolivar, Tennessee and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1376389882
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRUCE WILKSCredential: LADAC
Location Address793 TENNESSEE STBolivar, TN 38008-2441
Mailing Address793 Tennessee StBolivar, TN 38008-2441 · (731) 228-9068 · Fax (901) 425-9773
Phone(731) 228-9068
Fax(901) 425-9773
Sole ProprietorNo
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1376389882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
793 TENNESSEE ST, Bolivar, TN 38008
Open in Google Maps ↗

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.

MS. SUSANNA REID
Social Worker (Clinical)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
MR. BRODERICK WEBSTER SR. LPC
Counselor (Mental Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
TATYANA DEMATO MSW
Social Worker (Clinical)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
DR. AVANTI CROSS-BROWN DNP, PMHNP, CARN-AP
Nurse Practitioner (Psychiatric/Mental Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (901) 864-9563
PEGGY CLARK LMSW
Social Worker (Clinical)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
JOSELYN WILSON PSYCHOLOGY
Psychologist (Counseling)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
MRS. KAYLA WILLIAMS APRN, DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
BROWN BEHAVIORAL HEALTH SERVICES
Clinic/Center (Rural Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068

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 Bruce Wilks's NPI number?

The NPI number for Bruce Wilks is 1376389882. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Bruce Wilks located?

Bruce Wilks practices at 793 Tennessee St, Bolivar, TN 38008. The listed phone number is (731) 228-9068.

What is Bruce Wilks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bruce Wilks was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.