Individual provider · Type 1 NPI

Shayla Lateefah Bullock, LCPC

Professional Counselor · Laurel, MD

NPI number 1366003238 Active

Practice location

1773 Mill Branch Dr
Laurel, MD 20708-3414

Call (301) 256-8548 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC4067 (MD)

Professional Counselor: Definition to come...

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About NPI 1366003238

Shayla Lateefah Bullock, LCPC's National Provider Identifier is 1366003238, issued on Jun 21, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Laurel, MD. The record was last updated on Feb 25, 2026.