Liamara Bullock, AA, CPSS is a
Peer Specialist based in Longview, Washington. Liamara Bullock is licensed to practice in Washington (license number PR70110892) and her current practice location is
1400 Commerce Ave, Longview, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 998-2047.
NPI number for Liamara Bullock is 1073223665 and her current mailing address is Po Box 2394, Longview, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073223665.
Healthcare Provider's Profile
| Full Name | Liamara Bullock |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1400 Commerce Ave, Longview, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073223665
- Provider Enumeration Date: 12/05/2022
- Last Update Date: 08/24/2026
Medical Identifiers
Medical identifiers for Liamara Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073223665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | 61377319 (Washington) | Secondary |
| 175T00000X | Peer Specialist | PR70110892 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Liamara Bullock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Liamara Bullock, AA, CPSS Po Box 2394, Longview, WA 98632-8455 Ph: (360) 200-5419 | Liamara Bullock, AA, CPSS 1400 Commerce Ave, Longview, WA 98632-3756 Ph: (360) 998-2047 |
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