Stormy Lee Bullard | Tulsa, OK • PECOS Search

Stormy Lee Bullard

Social Worker

Behavioral Health & Social Service Providers

7010 S Yale Ave, Tulsa, OK 74136-5713

PECOS Enrollment

Based on the most recent information from CMS, provider Stormy Lee Bullard 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 today at 11:47 AM.

Profile Details

Provider ID
1548620040
Provider Type
Individual
Full Name
Bullard, Stormy Lee
Credential
L.C.S.W.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/26/2016
Last Updated
2/26/2016

Contact Information

Practice Location

7010 S Yale Ave, Tulsa, OK 74136-5713

Unlisted Fax

Mailing Location

7010 S Yale Ave, Tulsa, OK 74136-5713

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer