Provider Demographics
NPI:1417600925
Name:BULLARD, RHONDA (LPC)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:BULLARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 BROAD TIMBERS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-5011
Mailing Address - Country:US
Mailing Address - Phone:713-293-2103
Mailing Address - Fax:
Practice Address - Street 1:1327 W MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-5548
Practice Address - Country:US
Practice Address - Phone:832-299-8863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76436101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional