Provider Information for 1306275326
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. MIRINDA A BOLTON LPC
Sex: Female
NPI: 1306275326
Last Updated: 2017-02-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306275326 | ||||||||
| Enumeration Date | 2013-11-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 914 RICHLAND ST STE B101 COLUMBIA, SC 29201-2357 United States Phone: 803-403-8469 | Fax:803-403-9979 | ||||||||
| Primary Practice Address | 914 RICHLAND ST STE B101 COLUMBIA, SC 29201-2357 United States Phone: 803-403-8469 | Fax:803-403-9979 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|