Provider Demographics
NPI:1497468821
Name:BUZICK COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:BUZICK COUNSELING SERVICES, PLLC
Other - Org Name:BEYOND THERAPY ND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUZICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:701-354-1387
Mailing Address - Street 1:523 DEMERS AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-4528
Mailing Address - Country:US
Mailing Address - Phone:701-354-1387
Mailing Address - Fax:701-291-1882
Practice Address - Street 1:523 DEMERS AVE
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-4528
Practice Address - Country:US
Practice Address - Phone:701-354-1387
Practice Address - Fax:701-291-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-30
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty