| Angela Brown Bulla Lcsw | |
|
51 S Main Ave Ste 304 Clearwater FL 33765-3937 | |
| (727) 784-8244 | |
| (727) 287-9302 |
| Full Name | Angela Brown Bulla Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 51 S Main Ave Ste 304, Clearwater, Florida |
| Authorized Official Name and Position | Angela Brown Bulla (LICENSED COUNSELOR) |
| Authorized Official Contact | 7273284672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Brown Bulla Lcsw 51 S Main Ave Ste 304 Clearwater FL 33765-3937 Ph: (727) 328-4672 | Angela Brown Bulla Lcsw 51 S Main Ave Ste 304 Clearwater FL 33765-3937 Ph: (727) 784-8244 |
| NPI Number | 1144582024 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144582024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW 10862 (Florida) | Primary |
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