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

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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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.