Bulsza, Susan M

Bulsza, Susan M is an sole proprietor health care provider with primary practice located at 2513 N. Oak St. Suite 208, Myrtle Beach SC 29577. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bulsza, Susan M can be contacted via phone (843) 333-6767.

Contact Information

Primary practice address
2513 N. Oak St. Suite 208 Myrtle Beach SC 29577
Phone: (843) 333-6767
Fax: (843) 448-9875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4956 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4956 South Carolina

Profile Details

NPI number 1285715920
LBN Legal business name Bulsza, Susan M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Apr 15th, 2019 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285715920 NPPES
South Carolina MEDICAID PC1089

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