MS. PATRICIA DEANNE BOLLE (NPI# 1629217120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629217120 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA DEANNE BOLLE |
| Credential | M.S., LPC |
| Practice Address |
515 W Southlake Blvd Suite 172 Southlake TX 76092-6172 |
| Practice Telephone | 8175868352 |
| Mailing Telephone | 8175868352 |
| Enumeration Date | 2009-02-07 |
| Last Update Date | 2009-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
62440 | TX | Behavioral Health & Social Service Providers |
| Street Address |
515 W SOUTHLAKE BLVD SUITE 172 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948728 | James D Gonzales | Specialist | 515 W Southlake Blvd, Ste. 100, Southlake, TX 76092-6172 | 2005-11-07 |
| 1043563877 | Pf Dover Counseling | Psychologist | 515 W Southlake Blvd, Suite Number 172, Southlake, TX 76092-6172 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841814217 | Allen Rivera | Counselor | 540 Silicon Dr Ste 103, Southlake, TX 76092-7507 | 2020-06-02 |
| 1992285746 | Harmony Urso Marti | Counselor | 1330 N White Chapel Blvd Ste 100, Southlake, TX 76092-4323 | 2018-08-20 |
| 1467932665 | Brady Daniel | Counselor | 578 N Kimball Ave Ste 150, Southlake, TX 76092-1531 | 2018-08-16 |
| 1831606482 | Yaroub Saleh | Counselor | 2435 E Southlake Blvd Ste 100, Southlake, TX 76092-6679 | 2018-01-04 |
| 1619488780 | Megan Mcmurry Shelton | Counselor | 185 South Kimball Avenue, Suite 120, Southlake, TX 76092 | 2017-10-17 |
| 1316301088 | Teresa Tebrinke | Counselor | 1226 Ridgewood Cir, Southlake, TX 76092-9235 | 2016-04-08 |
| 1427425404 | Kathryn Casey | Counselor | 270 Miron Dr, Suite 112, Southlake, TX 76092-7856 | 2015-08-26 |
| 1356744072 | Marissa Lonngi | Counselor | 771 E Southlake Blvd Ste 206, Southlake, TX 76092-6576 | 2014-10-08 |
| 1639518129 | Latoya D. Yaites | Counselor | 1500 Corporate Cir Ste 4, Southlake, TX 76092-5954 | 2013-06-18 |
| 1275892507 | Catherine Word Burton | Counselor | 1500 Corporate Cir, Suites 10 -11, Southlake, TX 76092-5953 | 2012-05-07 |
| Find all providers in SOUTHLAKE | ||||
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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.