LAURA B BOLEY (NPI# 1093330664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093330664 |
| Entity Type | Individual |
| Full Name | LAURA B BOLEY |
| Credential | LMSW |
| Practice Address |
208 Quail Ridge Rd Elmore AL 36025-1006 |
| Mailing Address |
2701 Waterford Pl Birmingham AL 35244-1048 |
| Practice Telephone | 3342901807 |
| Mailing Telephone | 2566222300 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
4955G | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1306199682 | 05 |
| Street Address |
208 QUAIL RIDGE RD |
| City | ELMORE |
| State | AL |
| Zip Code | 36025-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306199682 | Family & Therapeutic Services | Community/Behavioral Health | 208 Quail Ridge Rd, Elmore, AL 36025-1006 | 2012-10-23 |
| 1124594866 | Valerie Deloris Gamble | Counselor | 208 Quail Ridge Rd, Elmore, AL 36025-1006 | 2018-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881114783 | Sharnese Danielle Thompson | Occupational Therapist | 280 Mt. Hebron Road, Elmore, AL 36025 | 2017-06-21 |
| 1629283080 | Frank Lambert Wright | Dentist | 2690 Marion Spillway Road, Elmore, AL 36025 | 2007-05-11 |
| 1750498341 | Air Evac Ems Inc. | Ambulance | 1155 Al Hwy 14, Elmore, AL 36025 | 2006-08-23 |
| 1740455617 | Jennifer Lynn Wilson | Nurse Practitioner | 199 Lake Bend Dr, Elmore, AL 36025-1058 | 2008-04-23 |
| 1952569170 | Tamika S Francis | Speech-Language Pathologist | 495 Brownstone Loop, Elmore, AL 36025-1072 | 2008-05-23 |
| 1104876226 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2006-05-11 |
| 1447881800 | Charity Bibb | Occupational Therapist | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2020-02-03 |
| 1427606037 | Samantha Lee Cohn | Occupational Therapy Assistant | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2019-08-27 |
| 1083278246 | Anthony Norris | Physical Therapy Assistant | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2019-04-23 |
| 1922587658 | Al Pacs 2 PC | Hospitalist | 280 Mt Hebron Rd, Elmore, AL 36025-1526 | 2018-08-13 |
| Find all providers in zip 36025 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
Please comment or provide details below to improve the information on LAURA B BOLEY.
| 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.