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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