Shayna Bullock, is a
Counselor - Addiction (substance Use Disorder) based in Mangham, Louisiana. Shayna Bullock is licensed to practice in * (Not Available) (license number ) and her current practice location is
312 Main St, Mangham, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 330-5859.
NPI number for Shayna Bullock is 1538785183 and her current mailing address is 312 Main St, Mangham, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538785183.
Healthcare Provider's Profile
| Full Name | Shayna Bullock |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 312 Main St, Mangham, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538785183
- Provider Enumeration Date: 06/19/2020
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Shayna Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538785183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | 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. Shayna 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 |
Shayna Bullock, 312 Main St, Mangham, LA 71259-5277 Ph: (318) 330-5859 | Shayna Bullock, 312 Main St, Mangham, LA 71259-5277 Ph: (318) 330-5859 |
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