Provider Demographics
NPI:1083481600
Name:RANDY J. BULPIN COUNSELING INC.
Entity Type:Organization
Organization Name:RANDY J. BULPIN COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDOLPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:BULPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:802-535-6160
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:
Mailing Address - City:HARDWICK
Mailing Address - State:VT
Mailing Address - Zip Code:05843-0071
Mailing Address - Country:US
Mailing Address - Phone:802-535-6160
Mailing Address - Fax:
Practice Address - Street 1:144 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HARDWICK
Practice Address - State:VT
Practice Address - Zip Code:05843-7046
Practice Address - Country:US
Practice Address - Phone:802-535-6160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)