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TAKESHA BULLOCK
NPI 1790445203
Case Manager/Care Coordinator in Little Rock, AR

Active since December 23, 2021
6601 W 12TH ST, LITTLE ROCK, AR 72204(501) 666-8686 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Takesha Bullock NPPES

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

TAKESHA BULLOCK (NPI 1790445203) is an individual case manager/care coordinator provider in Little Rock, Arkansas and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1790445203
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTAKESHA BULLOCK
Location Address6601 W 12TH STLittle Rock, AR 72204-1513
Mailing AddressPo Box 251970Little Rock, AR 72225-1970 · (501) 666-8686
Phone(501) 666-8686
Sole ProprietorNo
Enumeration DateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1790445203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
6601 W 12TH ST, Little Rock, AR 72204
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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.

MS. DORIAN LATOYA TONEY
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
CHERIE HARLESS
Counselor (Mental Health)
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
LAQUITA ANN CHARLES
Registered Nurse
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
MARSHAE WILSON
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 660-6886
SCOTT WILLIAMS QBHP
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
FELICIA ONYEKWELI
Licensed Practical Nurse
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
DOMINIQUE NEAL
Case Manager/Care Coordinator
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 666-8686
TATIANA BUSKIRK
Registered Nurse (Psychiatric/Mental Health)
6601 W 12TH ST
LITTLE ROCK, AR 72204
Pulaski County (501) 660-6886

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 Takesha Bullock's NPI number?

The NPI number for Takesha Bullock is 1790445203. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Takesha Bullock located?

Takesha Bullock practices at 6601 W 12th St, Little Rock, AR 72204. The listed phone number is (501) 666-8686.

What is Takesha Bullock's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Takesha Bullock was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.