Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1558941211


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

IMANE BOULARES LPC-Associate


Sex: Female

NPI: 1558941211
Last Updated: 2023-09-21
Certification Date: 2023-09-21

Details

NameValue
NPI1558941211
Enumeration Date2021-04-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6001 W PARMER LN STE 3701147
AUSTIN, TX 78727-3901
United States

Phone: 818-671-8380 | Fax:
 
Primary Practice Address 6001 W PARMER LN STE 3701147
AUSTIN, TX 78727-3901
United States

Phone: 818-671-8380 | Fax:
 
Secondary Practice Address(es)

156 S MAIN ST STE 120
LUMBERTON, TX 77657-7882
United States

Phone: 409-200-2220 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX84813