| Elizabeth W Bulmer Counseling Llc | |
|
1601 S State St Ste 100 Edmond OK 73013-3507 | |
| (405) 252-1203 | |
| (405) 267-4742 |
| Full Name | Elizabeth W Bulmer Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1601 S State St Ste 100, Edmond, Oklahoma |
| Authorized Official Name and Position | Elizabeth Walt Bulmer (PROVIDER) |
| Authorized Official Contact | 8322981763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth W Bulmer Counseling Llc 1601 S State St Ste 100 Edmond OK 73013-3507 Ph: (405) 252-1203 | Elizabeth W Bulmer Counseling Llc 1601 S State St Ste 100 Edmond OK 73013-3507 Ph: (405) 252-1203 |
| NPI Number | 1700590650 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Medicare PECOS PAC ID | 3779948864 |
|---|---|
| Medicare Enrollment ID | O20230425000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700590650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Elizabeth Walt Bulmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942474028 PECOS PAC ID: 3375612195 Enrollment ID: I20151229000226 |
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