Provider Demographics
NPI:1740506690
Name:BULINSKI, KELLY M (MSED, LPCC-S)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:M
Last Name:BULINSKI
Suffix:
Gender:F
Credentials:MSED, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5556 ROYAL POINTE DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7517
Mailing Address - Country:US
Mailing Address - Phone:614-551-9297
Mailing Address - Fax:614-848-5323
Practice Address - Street 1:161 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7619
Practice Address - Country:US
Practice Address - Phone:614-551-9297
Practice Address - Fax:614-848-5323
Is Sole Proprietor?:No
Enumeration Date:2010-04-18
Last Update Date:2019-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0800364101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional