IndividualActive
Amanda Bullock
NPI 1043850811 · Mental Health Counselor · Cheyenne, WY
Provider details
- NPI number
- 1043850811
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PPC-1166 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2005 Warren Ave
Cheyenne, WY 82001-3725
Phone: (307) 426-4855
Approximate (ZIP-level) locationGet directions
Mailing address
7308 Legacy Pkwy
Cheyenne, WY 82009-8392
Registry dates
- Enumerated
- 2020-01-09
- Last updated
- 2020-01-09
- Certified
- 2020-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.