TESSA JANE BOLZ


Address: 2426 Monroe St, Wilmington, NC 28401-7026
Phone: 9104441883

TESSA JANE BOLZ (NPI# 1821696717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821696717
Entity Type Individual
Full Name TESSA JANE BOLZ
Credential LCMHCA, NCC
Practice Address 2426 Monroe St
Wilmington
NC 28401-7026
Practice Telephone 9104441883
Mailing Telephone 9104441883
Enumeration Date 2020-10-13
Last Update Date 2020-10-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
A16044 NC Behavioral Health & Social Service Providers

Office Location

Street Address 2426 MONROE ST
City WILMINGTON
State NC
Zip Code 28401-7026

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1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427656172 Jennifer Hickman Grimm Counselor 1014 Steeplechase Rd, Wilmington, NC 28412-7206 2020-10-14
1588278600 Kimberly Jackson Counselor 2703 N Harrison St, Wilmington, DE 19802-2924 2020-09-04
1134746399 Heather Nicole Freeman Counselor 771 Bonaire Rd, Wilmington, NC 28412-3282 2020-07-02
1497393441 Julie Elaine Campana Counselor 501 Silverside Rd Ste 50, Wilmington, DE 19809-1388 2019-12-19
1205473360 Keonna M Freeman Counselor 5700 Kirkwood Hwy Ste 204, Wilmington, DE 19808-4884 2019-12-06
1699311381 Rebecca L Dries Counselor 1201 W 7th St Apt 3, Wilmington, DE 19805-3258 2019-11-18
1811532286 Carolyn Elizabeth Lehman Counselor 815 N Harrison St, Wilmington, DE 19806-4628 2019-11-09
1639713183 Richard Luke Loveless Jr. Counselor 3719 Washington Ave, Wilmington, DE 19808-6034 2019-10-28
1396388153 Jennifer Cook Counselor 5710 Oleander Dr Ste 112, Wilmington, NC 28403-4722 2019-10-24
1356906663 Julie A Fiore Counselor 60 Concord St Ste 1, Wilmington, MA 01887-2179 2019-05-02
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Competitor

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City WILMINGTON
Zip Code 28401

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Dataset Information

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.

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