COURTNEY BOLLER (NPI# 1205202165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205202165 |
| Entity Type | Individual |
| Full Name | COURTNEY BOLLER |
| Practice Address |
635 Cox Rd Unit B Gastonia NC 28054-3424 |
| Practice Telephone | 7046917561 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 10076A | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1093949109 | 05 |
| Street Address |
635 COX RD UNIT B |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612642 | Natu V Patel | Internal Medicine | 635 Cox Rd, Suite E, Gastonia, NC 28054-3441 | 2005-07-08 |
| 1326558263 | Casey Jolly | Social Worker | 635 Cox Rd, B, Gastonia, NC 28054 | 2017-10-05 |
| 1033663885 | Ashleigh Fogg | Social Worker | 635 Cox Rd, Suite B, Gastonia, NC 28054-3424 | 2016-08-10 |
| 1124572979 | Lakeysha Marquita Sawyer | Social Worker | 635 Cox Rd, Suite B, Gastonia, NC 28054-3424 | 2016-08-10 |
| 1821462805 | John Russell Davenport | Counselor | 635 Cox Rd, Suite B, Gastonia, NC 28054-3424 | 2015-11-13 |
| 1730562067 | Tia Mintz | Social Worker | 635 Cox Rd, Suite B, Gastonia, NC 28054-3424 | 2015-07-06 |
| 1407254212 | Barbretta Cook | Counselor | 635 Cox Rd, Gastonia, NC 28054-3424 | 2014-12-10 |
| 1487058699 | Michael Carr Sumner | Social Worker | 635 Cox Rd, Gastonia, NC 28054-3424 | 2014-10-17 |
| 1972895175 | Keosha D.v. Montgomery | Counselor | 635 Cox Rd, Gastonia, NC 28054-3424 | 2011-05-05 |
| 1093949109 | Gaston Adolescent Center, Inc. | Case Management | 635 Cox Rd, Suite B, Gastonia, NC 28054 | 2009-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346587953 | Regina Baker | Marriage & Family Therapist | 1209 E Garrison Bld, Gastonia, NC 28054-0551 | 2013-01-16 |
| 1437496908 | Wesley Phillips | Marriage & Family Therapist | 317 S Chester St, Gastonia, NC 28052-3803 | 2013-01-03 |
| 1144787474 | Via-tonda E. Byers | Marriage & Family Therapist | 635 Cox Rd Ste B, Gastonia, NC 28054-3441 | 2019-02-22 |
| 1427587799 | Alysia Leak | Marriage & Family Therapist | 1554 Union Rd Ste C, Gastonia, NC 28054-5581 | 2017-06-08 |
| 1033646526 | Zoe Leary | Marriage & Family Therapist | 549 Cox Rd, Gastonia, NC 28054-0628 | 2017-05-16 |
| 1285017814 | Wendy Brown | Marriage & Family Therapist | 609 S New Hope Rd, Gastonia, NC 28054-4876 | 2015-07-01 |
| 1235510223 | Virginia Phillips | Marriage & Family Therapist | 317 S Chester St, Gastonia, NC 28052-3803 | 2015-06-15 |
| 1184005399 | Christway Counseling | Marriage & Family Therapist | 317 S Chester St, Gastonia, NC 28052-3803 | 2015-06-12 |
| 1407255250 | Celia Noe | Marriage & Family Therapist | 1552 Union Rd, Suite E, Gastonia, NC 28054-5523 | 2014-08-18 |
| 1962814608 | Joshua Daniel Ramsey | Marriage & Family Therapist | 175 W Franklin Blvd, Gastonia, NC 28052-4145 | 2014-05-29 |
| Find all providers in GASTONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.