Provider Demographics
NPI:1477359651
Name:BULUT, TUGBA (MHCA)
Entity type:Individual
Prefix:
First Name:TUGBA
Middle Name:
Last Name:BULUT
Suffix:
Gender:
Credentials:MHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12233 112TH WAY NE APT E304
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6822
Mailing Address - Country:US
Mailing Address - Phone:425-384-9233
Mailing Address - Fax:
Practice Address - Street 1:12233 112TH WAY NE APT E304
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6822
Practice Address - Country:US
Practice Address - Phone:425-384-9233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61549477101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health