Individual provider · Type 1 NPI
Susan A. Bomar, MA
Mental Health Counselor · Memphis, TN
NPI number
1164585261
Active
Practice location
3810 Winchester Rd, Southeast Mental Health Center
Memphis, TN 38118-9007
Fax (901) 369-1433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1164585261
Susan A. Bomar, MA's National Provider Identifier is 1164585261, issued on Dec 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Memphis, TN. The record was last updated on Sep 11, 2025.