AISLIN BOLER (NPI# 1275170300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275170300 |
| Entity Type | Individual |
| Full Name | AISLIN BOLER |
| Credential | LPC |
| Practice Address |
1120 E Main St Ste 24 Philadelphia MS 39350-2300 |
| Practice Telephone | 6017818677 |
| Practice Fax Number | 6016760550 |
| Mailing Telephone | 6017818677 |
| Mailing Fax Number | 6016760550 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2374 | MS | Behavioral Health & Social Service Providers |
| Street Address |
1120 E MAIN ST STE 24 |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952548646 | Kathy Gray | Counselor | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2009-01-16 |
| 1881202182 | Tawana Gipson | Nurse Practitioner | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2020-07-22 |
| 1790303816 | Comanechi Clayton | Nurse Practitioner | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2020-07-07 |
| 1326687344 | Lakeeia Lashoundra Myles | Nurse Practitioner | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2019-12-23 |
| 1679120190 | Skye Carlisle | Nurse Practitioner | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2019-08-20 |
| 1225502412 | Sherita Danielle Wallace | Nurse Practitioner | 1120 E Main St Ste 24, Philadelphia, MS 39350 | 2019-01-22 |
| 1760963805 | Leah Rigney | Nurse Practitioner | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2018-08-27 |
| 1245717685 | Intouch Health | Nurse Practitioner | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2018-07-27 |
| 1588171128 | Stephanie Edwards | Nurse Practitioner | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2018-01-04 |
| 1932610623 | Lowell Wallace | Social Worker | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2017-10-20 |
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|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
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| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
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|---|---|---|---|---|
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| 1679189641 | Teen Support Center, LLC | Counselor | 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 | 2020-09-16 |
| 1982219879 | Dathan Landon-freeman | Counselor | 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 | 2020-09-09 |
| 1700490422 | Outside The Box Strategies, LLC | Counselor | 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 | 2020-09-01 |
| 1346853355 | Lauren Dattilo | Counselor | 10175 Bustleton Ave, Philadelphia, PA 19116-3718 | 2020-08-28 |
| 1487265229 | Staci A Robinson | Counselor | 3925 N Smedley St, Philadelphia, PA 19140-3420 | 2020-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
Please comment or provide details below to improve the information on AISLIN BOLER.
| 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.