Judith Batamuliza Bushaija, MSW LCSWA
Individual provider Active NPI Mental Health Counselor · Selma, NC
NPI 1467790253 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1467790253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- P007143 (NC)
- Practice address
- 200 S Pollock St
Selma, NC 27576-3062 - Phone
- (574) 360-2226
- NPI assigned
- Jan 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P007143 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P007143 | NC | |
| Mental Health Counselor | 101YM0800X | P007143 | NC | Yes |
Addresses
Primary practice location
200 S Pollock St
Selma, NC 27576-3062
Mailing address
9104 Drew Hill LN
Chapel Hill, NC 27514-6949
Phone (574) 360-2226
Other providers in Selma, NC
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- Laura Ann Caldarera
- Lagreta Williams Cameron
- Carolina Express Care Selma
- Carolina Support Services, Inc
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All providers in Selma, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.