Diana Lynn Bolmes in Wauwatosa - Addiction (substance Use Disorder)

Diana Lynn Bolmes - NPI 1386658649

Diana Lynn Bolmes is a Addiction (substance Use Disorder) in Wauwatosa, Wisconsin. Diana Lynn Bolmes practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Diana Lynn Bolmes is 1386658649. The last update date is 2021-11-24.

Diana Lynn Bolmes's current location address is 1220 Dewey Ave, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144546502 and fax number 4144546751. The mailing address for Diana Lynn Bolmes is 1220 Dewey Ave, Wauwatosa, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Diana Lynn Bolmes
Address 1220 Dewey Ave, Wauwatosa, Wisconsin
Phone Number 4144546502
Fax Number 4144546751
Sole Proprietor N
Credentials LCSW, CSAC

NPI Number Detail

NPI Number 1386658649
Provider Enumeration Date 2006-07-29
Last Updated Date 2021-11-24

Provider Mailing Address Detail

Address 1220 Dewey Ave
City Wauwatosa
State Wisconsin (WI)
Post Code 532132504
Phone Number 4144546502
Fax Number 4144546751

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 11208
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40919900 WI --

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FAQs about Diana Lynn Bolmes

What is the unique 10-digit identification code issued to Diana Lynn Bolmes by the Centers for Medicare & Medicaid Services?

The Diana Lynn Bolmes has been assigned the NPI (National Provider Identifier) 1386658649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Diana Lynn Bolmes is physically located?

The Diana Lynn Bolmes is physically situated at the following address: 1220 Dewey Ave, Wauwatosa, WI, 532132504.

What is Diana Lynn Bolmes's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Diana Lynn Bolmes is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

When did Diana Lynn Bolmes receive its 1386658649 assignment?

The Diana Lynn Bolmes was assigned its 1386658649 on 2006-07-29, which is the date when this unique identifier was issued to the organization.

As of what date were the Diana Lynn Bolmes's details last updated?

The information pertaining to the Diana Lynn Bolmes, including its address, specialty, and other details, was most recently updated on 2021-11-24.

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