Mary Kathleen Bolles in Austin - Addiction (substance Use Disorder)

Mary Kathleen Bolles - NPI 1124037957

Mary Kathleen Bolles is a Addiction (substance Use Disorder) in Austin, Texas. Mary Kathleen Bolles practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mary Kathleen Bolles is 1124037957. The last update date is 2015-10-28.

Mary Kathleen Bolles's current location address is 3705 Medical Parkway #450, Austin, Texas. You can contact this provider via phone number 5123060061 and fax number 5123060069. The mailing address for Mary Kathleen Bolles is 3705 Medical Parkway #450, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Kathleen Bolles
Address 3705 Medical Parkway #450, Austin, Texas
Phone Number 5123060061
Fax Number 5123060069
Sole Proprietor N
Credentials PMHNP

NPI Number Detail

NPI Number 1124037957
Provider Enumeration Date 2006-08-08
Last Updated Date 2015-10-28

Provider Mailing Address Detail

Address 3705 Medical Parkway #450
City Austin
State Texas (TX)
Post Code 78705
Phone Number 5123060061
Fax Number 5123060069

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 13337
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Mary Kathleen Bolles

What is the unique provider identifier assigned to Mary Kathleen Bolles?

The Mary Kathleen Bolles has been issued the NPI (National Provider Identifier) 1124037957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mary Kathleen Bolles's facilities are geographically located?

The facilities of Mary Kathleen Bolles are physically situated at the following location: 3705 Medical Parkway #450, Austin, TX, 78705.

What is Mary Kathleen Bolles's area of expertise and its corresponding taxonomy classification?

The Mary Kathleen Bolles's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1124037957 to Mary Kathleen Bolles?

The Centers for Medicare & Medicaid Services assigned the 1124037957 to Mary Kathleen Bolles on 2006-08-08.

When was the Mary Kathleen Bolles's information last updated?

The Mary Kathleen Bolles's information was last updated on 2015-10-28.

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