Healthcare Provider Details

I. General information

NPI: 1972088458
Provider Name (Legal Business Name): HARMONIE BROOKE BULLOCK LPC.0020746
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2018
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11538 RUNNING CREEK LN
PARKER CO
80138-7107
US

IV. Provider business mailing address

11538 RUNNING CREEK LN
PARKER CO
80138-7107
US

V. Phone/Fax

Practice location:
  • Phone: 720-593-8313
  • Fax:
Mailing address:
  • Phone: 720-593-8313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0020746
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: