BOLTON THERAPY & WELLNESS (NPI# 1437714862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437714862 |
| Entity Type | Organization |
| Organization Name | BOLTON THERAPY & WELLNESS |
| Practice Address |
1534 Bolton St Ste 1 Baltimore MD 21217-4203 |
| Practice Telephone | 7035687398 |
| Mailing Telephone | 7035687398 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | MS. DESYREE ALLISON DIXON (THERAPIST) |
| Authorized Official Telephone | 7035876738 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
1534 BOLTON ST STE 1 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21217-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619532082 | Desyree Allison Dixon | Counselor | 1534 Bolton St Ste 1, Baltimore, MD 21217-4203 | 2019-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979500 | Jia K Allen | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2018-11-01 |
| 1982186102 | Family First Home Care LLC | In Home Supportive Care | 1645 N Calhoun St Apt 205, Baltimore, MD 21217 | 2018-09-04 |
| 1821598616 | Organizational Pathways, LLC | Counselor | 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 | 2018-02-18 |
| 1881131308 | Domonique Matthews | Registered Nurse | 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 | 2017-01-23 |
| 1992121982 | Dorren Rennes | Counselor | 2350 Eutaw Place, Baltimore, MD 21217 | 2014-03-14 |
| 1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
| 1790023448 | Adeola Titilayo Adefioye | Registered Nurse | 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 | 2013-01-30 |
| 1912274150 | Total Health Care Inc. | Community/Behavioral Health | 5101 Division Street, Baltimore, MD 21217 | 2011-11-16 |
| 1386816395 | Kennedy Krieger Education and Communication | Social Worker | 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 | 2008-03-31 |
| 1740452762 | Kennedy Krieger Education and Communication | Social Worker | 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 | 2008-03-31 |
| Find all providers in zip 21217 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041008 | Truecare Behavioral Health Systems, Inc | Clinic/Center | 330 E 25th St Ste 101, Baltimore, MD 21218-5359 | 2020-07-28 |
| 1578171088 | Dana Shaw LLC | Clinic/Center | 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 | 2020-07-21 |
| 1962037291 | Transformed Perspectives | Clinic/Center | 2807 Ailsa Ave, Baltimore, MD 21214-2522 | 2020-03-06 |
| 1013486620 | Tnat Holistic Wellness Center | Clinic/Center | 3221 Belair Rd, Baltimore, MD 21213-1242 | 2018-11-14 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| 1043727183 | Treasure Health Systems, Inc | Clinic/Center | 1900 E Northern Pkwy Ste 301, Baltimore, MD 21239-2111 | 2018-01-10 |
| 1891208484 | Solomon Counseling, LLC | Clinic/Center | 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 | 2017-11-06 |
| 1952839474 | Ef Mental Health Services, LLC | Clinic/Center | 2107 N Charles St, 1st Floor - Right Side, Baltimore, MD 21218 | 2017-05-28 |
| 1629453261 | Julie D. Lapides, Psy. D., PC | Clinic/Center | 6115 Falls Rd Ste Llb, Baltimore, MD 21209-2450 | 2015-07-24 |
| 1972869394 | Sherman & Associates Services of Standard | Clinic/Center | 4401 Marble Hall Rd, Suite #200, Baltimore, MD 21218-1523 | 2012-04-10 |
| Find all providers in BALTIMORE | ||||
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| 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.