MRS. CHRISTINA M BULLOCK


Address: 1815 Pleasant Grove Road, Jonesboro, AR 72401-7870
Phone: 8709336886

MRS. CHRISTINA M BULLOCK (NPI# 1821265307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821265307
Entity Type Individual
Full Name MRS. CHRISTINA M BULLOCK
Other Name MS. CHRISTINA FISSEL
Credential LPC
Practice Address 1815 Pleasant Grove Road
Jonesboro
AR 72401-7870
Practice Telephone 8709336886
Practice Fax Number 8709339395
Mailing Telephone 8709336886
Mailing Fax Number 8709339395
Enumeration Date 2008-05-13
Last Update Date 2016-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
P1201007 AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR BCBS 5AA34 01
AR 169571795 05

Other Providers CHRISTINA BULLOCK

NPI Name Taxonomy Address Enumeration
1679768246 Christina Arkle Bullock Nurse Anesthetist, Certified Registered 2020 59th St W, Bradenton, FL 34209-4604 2007-09-07

Office Location

Street Address 1815 PLEASANT GROVE ROAD
City JONESBORO
State AR
Zip Code 72401-7870

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770535569 Families, Inc of Arkansas Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72401 2006-05-17
1265050512 Rossie Goolsby Case Manager/Care Coordinator 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2020-07-13
1922634161 Steven Austin Harmon Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2020-03-19
1225664469 David Jake Emery Case Manager/Care Coordinator 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2020-03-19
1740836030 Shonna Marie Arnold Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2019-08-13
1003468380 Kiara Danyel Griffin Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2019-07-16
1942720669 Ashley Michelle Puckett Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72404 2017-06-23
1477081669 Shawn Michael Canty Case Manager/Care Coordinator 1815 Pleasant Grove Road, Jonesboro, AR 72401 2017-06-01
1205376209 Laura Harmon Social Worker 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2017-02-24
1164964656 Amy Renee Williams Social Worker 1815 Pleasant Grove Road, Jonesboro, AR 72404 2016-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184239360 Haronepthia C Cameron Counselor 102 Lundy Ln, Jonesboro, GA 30238-2132 2020-09-14
1356993356 New Behavioral Services LLC Counselor 216 N Mcdonough St, Jonesboro, GA 30236-3608 2019-07-10
1386107563 Lashanda Robertson Counselor 124 S Main St Ste 2n, Jonesboro, GA 30236-3502 2019-04-13
1467987230 Sharon Temple Counselor 10519 Cedar Knob, Jonesboro, GA 30238-8834 2017-04-28
1497207450 Felita Bush Counselor 124 S Main St Ste 2g, Jonesboro, GA 30236-3502 2016-10-25
1164977583 Dealva Kernodle Counselor 935 County Road 348, Jonesboro, AR 72401-0418 2016-08-16
1013372879 Cassandra Walker Counselor 2617 Dancing Waters Dr, Jonesboro, GA 30236-4051 2015-12-22
1932512621 Project Real Life Youth Occupational Training Corps, Inc. Counselor 6805 Tara Blvd, Jonesboro, GA 30236-1501 2014-06-10
1518384106 Visions of Life Behavioral Health Services, Incorporated Counselor 754 Chapman Street, Jonesboro, GA 30238 2014-03-21
1922443993 Ruth Wheller Counselor 1000 S Caraway Rd Ste 103, Jonesboro, AR 72401-4465 2013-05-06
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Competitor

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City JONESBORO
Zip Code 72401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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