| Susan M. Bulsza Lpc, Llc | |
|
Grand Strand Business Center 1293 Professional Drive, Suite 109 Myrtle Beach SC 29577-5754 | |
| (843) 333-6767 | |
| Not Available |
| Full Name | Susan M. Bulsza Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | Grand Strand Business Center, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Susan M Bulsza (OWNER) |
| Authorized Official Contact | 8433336767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M. Bulsza Lpc, Llc P.o. Box 50046 Myrtle Beach SC 29579-0001 Ph: (843) 902-0023 | Susan M. Bulsza Lpc, Llc Grand Strand Business Center 1293 Professional Drive, Suite 109 Myrtle Beach SC 29577-5754 Ph: (843) 333-6767 |
| NPI Number | 1255956090 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255956090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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