TIMOTHY IRVIN BOLEN (NPI# 1649770025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649770025 |
| Entity Type | Individual |
| Full Name | TIMOTHY IRVIN BOLEN |
| Credential | LPC |
| Practice Address |
141 Highway 142 Covington GA 30014-4857 |
| Mailing Address |
2320 Mount Zion Rd Oxford GA 30054-2626 |
| Practice Telephone | 7706589012 |
| Mailing Telephone | 7706589012 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005921 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104191899 | Timothy J Bolen | Specialist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2012-03-14 |
| Street Address |
141 HIGHWAY 142 |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245730001 | Tricord Hope LLC | Counselor | 141 Highway 142, Covington, GA 30014-4857 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409612 | Reach Counseling Solutions, Pllc | Counselor | 1776 Continental Dr Unit 503, Covington, LA 70433-7283 | 2020-05-26 |
| 1295379642 | Cindy Brown | Counselor | 214 Lee Ln Ste B, Covington, LA 70433-3252 | 2019-10-29 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1417492836 | Shannon Conner | Counselor | 67140 Industry Ln., Covington, LA 70433 | 2016-12-20 |
| 1326590225 | Mainspring Wellness, LLC | Counselor | 600 Greenup St, Covington, KY 41011-2524 | 2016-10-27 |
| 1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
| 1801252408 | Ashelie Blankenship | Counselor | 19411 Helenbirg Rd, Suite 103, Covington, LA 70433-5199 | 2016-01-12 |
| 1871962753 | Bridget Young | Counselor | 577 Huseman Ln, Covington, LA 70435-0580 | 2015-09-21 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1669868394 | Katy Hoffman | Counselor | 4339 Winston Avenue, Latonia Center, Covington, KY 41015 | 2015-04-09 |
| Find all providers in COVINGTON | ||||
Please comment or provide details below to improve the information on TIMOTHY IRVIN BOLEN.
| 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.