Bulloch, Micah J
Bulloch, Micah J is an individual health care provider with primary practice located at 245 E 680 S , Cedar City UT 84720-3593. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bulloch, Micah J can be contacted via phone (435) 867-7654.Contact Information
Primary practice address
245 E 680 S
Cedar City UT 84720-3593
Phone: (435) 867-7654
Fax: (435) 867-7699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 107800 | Texas |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Utah | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8371889 | Idaho |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8765778-3501 | Utah |
Profile Details
| NPI number | 1679082952 |
|---|---|
| LBN Legal business name | Bulloch, Micah J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2017 |
| Last updated | Apr 7th, 2026 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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