| Kathleen Bullard Psychotherapy Llc | |
|
7918 Fredricksburg Ct Unit 101 Bristol WI 53104-8720 | |
| (262) 806-1467 | |
| (262) 661-7702 |
| Full Name | Kathleen Bullard Psychotherapy Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7918 Fredricksburg Ct Unit 101, Bristol, Wisconsin |
| Authorized Official Name and Position | Kate M Bullard (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8478099218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Bullard Psychotherapy Llc 7918 Fredricksburg Ct Unit 101 Bristol WI 53104-8720 Ph: (262) 806-1467 | Kathleen Bullard Psychotherapy Llc 7918 Fredricksburg Ct Unit 101 Bristol WI 53104-8720 Ph: (262) 806-1467 |
| NPI Number | 1063993038 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 01/21/2026 |
| Certification Date | 01/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063993038 | NPI | - | NPPES |
| 1033550934 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6363-125 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16105-131 (Wisconsin) | Primary |
Heal From Within Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6401 205th Ave, Bristol, WI 53104 Phone: 847-774-2264 | |
Optimal Health & Balance Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6925 184th Ave, Bristol, WI 53104 Phone: 262-358-2954 |