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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MELONIE BULLOCK-SANDERS, N/A

Active Sole Proprietor

Case Manager · SHREVEPORT, LA

Registration Details

NPI Number
1255527412
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2007 (18.583745366356 yrs)
Last Updated
Feb 24, 2024
License
012794099 (LA)
Sole Proprietor
Yes

Practice Information

Address
1915 HIGHLAND AVE
SHREVEPORT, LA, 711014818
Browse LA providers · Browse ZIP 71101
Phone
9405778536
Fax
9727536400
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in SHREVEPORT, LA

Name Credential NPI
REBECCA V SNEED-MATTHEWS 1013186089
SHANNON ANN GOLDSMITH 1013189588
MS. BETSY LEE WILLIAMS PSYD, BCPC, MA 1851564934
MRS. JULIE ANNE DUNCAN MS, LPC 1578797502
MARGARET EVA DANIELS LPC 1790001642
MS. MARY ANN GOSS LMSW 1821375445
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.