Individual provider · Type 1 NPI
Lewis A. Bullock, NCC
Professional Counselor · Hattiesburg, MS
NPI number
1336371053
Active
Practice location
15 Professional Pkwy Ste 100
Hattiesburg, MS 39402-2647
Fax (601) 768-2429
Mailing address
PO Box 15324
Hattiesburg, MS 39404-5324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 225797 (MS) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1336371053
Lewis A. Bullock, NCC's National Provider Identifier is 1336371053, issued on Aug 13, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hattiesburg, MS. The record was last updated on Mar 18, 2026.