Callee Bullock | Lynchburg, VA • PECOS Search

Callee Bullock

Counselor

Behavioral Health & Social Service Providers

1933 Thomson Dr, Lynchburg, VA 24501-1008

(434) 616-6762 (702) 622-0056

PECOS Enrollment

Based on the most recent information from CMS, provider Callee Bullock does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1548803307
Provider Type
Individual
Full Name
Bullock, Callee
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
10/24/2019
Last Updated
10/24/2019

Contact Information

Practice Location

1933 Thomson Dr, Lynchburg, VA 24501-1008

Unlisted Fax

Mailing Location

1030 Dandridge Dr, Lynchburg, VA 24501-2218

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701008630 Virginia