Provider Demographics
NPI:1508041989
Name:BULLION, LEIGH ERICA (LPC, NCC, MAC)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:ERICA
Last Name:BULLION
Suffix:
Gender:F
Credentials:LPC, NCC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3804 CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3212
Mailing Address - Country:US
Mailing Address - Phone:318-613-6824
Mailing Address - Fax:
Practice Address - Street 1:7700 ALABAMA AVE
Practice Address - Street 2:BLDG 1947
Practice Address - City:FORT POLK
Practice Address - State:LA
Practice Address - Zip Code:71459-5401
Practice Address - Country:US
Practice Address - Phone:337-531-8932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6793101YM0800X
NC31005101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health