AKEYA BOLDEN (NPI# 1790203347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790203347 |
Entity Type | Individual |
Full Name | AKEYA BOLDEN |
Credential | LPCC, LADC |
Practice Address |
3212 64th Ave N Brooklyn Center MN 55429 |
Mailing Address |
3212 64th Ave N Brooklyn Center MN 55429-2237 |
Practice Telephone | 7636702216 |
Mailing Telephone | 7636702216 |
Enumeration Date | 2017-09-05 |
Last Update Date | 2018-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304166 | MN | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
1615 | MN | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
451 Lexington Parkway North, St. Paul, MN 55104 | 6512802310 |
Street Address |
3212 64TH AVE N |
City | BROOKLYN CENTER |
State | MN |
Zip Code | 55429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124593090 | Amal Healing Center | Clinic/Center | 3212 64th Ave N, Brooklyn Center, MN 55429-2237 | 2018-10-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
1063958353 | Golden Touch Health Care, LLC | Home Health | 3300 Cty Rd 10, Suite 314, Brooklyn Center, MN 55429 | 2017-01-11 |
Find all providers in zip 55429 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407462849 | Anthony Arthur Duhn | Counselor | 6160 Summit Dr N Ste 375, Brooklyn Center, MN 55430-2251 | 2020-09-21 |
1831733740 | Matthew Douglas Albers Thompson | Counselor | 5910 Shingle Creek Pkwy Ste 180, Brooklyn Center, MN 55430-2322 | 2019-11-04 |
1497253512 | Jimmie Lee Heags Jr. | Counselor | 5901 Brooklyn Blvd Ste 205, Brooklyn Center, MN 55429-2533 | 2018-01-23 |
1992006431 | Tanya Y Young | Counselor | 6066 Shingle Creek Pkwy # 172, Brooklyn Center, MN 55430-2316 | 2010-11-16 |
1730265794 | Bernard Beamon | Counselor | 6120 Earle Brown Drive Ste 520, Brooklyn Center, MN 55430 | 2006-10-31 |
1275150583 | April Christine Ildvad | Counselor | 3300 County Road 10 Ste 500, Brooklyn Center, MN 55429-3068 | 2020-07-02 |
1255950804 | Austina Renee Mwaura | Counselor | 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2322 | 2020-04-14 |
1033624952 | Matthew Louis Schaut | Counselor | 4408 69th Ave N, Brooklyn Center, MN 55429-1739 | 2017-12-14 |
1164945200 | Contessa Johnson | Counselor | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2017-07-20 |
1376969246 | Arraina Thomas | Counselor | 5701 Shingle Creek Pkwy Ste 550, Brooklyn Center, MN 55430-2475 | 2014-03-14 |
Find all providers in BROOKLYN CENTER |
City | BROOKLYN CENTER |
Zip Code | 55429 |
Please comment or provide details below to improve the information on AKEYA BOLDEN.
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.