JUDY BOLTON (NPI# 1750365946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750365946 |
| Entity Type | Individual |
| Full Name | JUDY BOLTON |
| Credential | LPC |
| Practice Address |
1502 E Airline Rd Suite 25 Victoria TX 77901-4154 |
| Practice Telephone | 3615750611 |
| Mailing Telephone | 3615750611 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
19203 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 168640401 | 05 |
| Street Address |
1502 E AIRLINE RD SUITE 25 |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558540120 | Anthony Dominic Debona | Social Worker | 1502 E Airline Rd, Suite 40, Victoria, TX 77901-4112 | 2007-10-30 |
| 1700988789 | Donna Lynn Westerman | Internal Medicine | 1502 E Airline Rd, #40, Victoria, TX 77901-4112 | 2006-09-01 |
| 1477664050 | Veterans Affairs | Social Worker | 1502 E Airline Rd, Suite # 40, Victoria, TX 77901-4112 | 2006-08-31 |
| 1952336398 | Gulf Bend Mhmr Center Txhml Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1502 E Airline Rd, Suite 25, Victoria, TX 77901-4112 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1467920116 | Cameo Lynn Mead | Counselor | 513 Dove Dr, Victoria, TX 77905 | 2018-11-09 |
| 1962941997 | Jacob Weishuhn | Counselor | 4702 N Laurent St Ste D, Victoria, TX 77904-2158 | 2017-02-23 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992156244 | Ruby Lenamon | Counselor | 120 David Wade, Victoria, TX 77905-4404 | 2016-06-28 |
| 1457714396 | Otilia Chavez | Counselor | 1801 N Laurent St Ste 107, Victoria, TX 77901-5462 | 2016-03-29 |
| 1235591140 | Mark Fitzsimmons | Counselor | 204 Nantucket Ave, Victoria, TX 77904-2504 | 2016-03-22 |
| 1659731859 | Josephine Elizabeth Kee-rees | Counselor | 1501 E. Mockingbird Ln., Suite #275, Victoria, TX 77904-2189 | 2016-03-01 |
| 1962848952 | Magdalene Mata | Counselor | 117 Brookwood, Victoria, TX 77901-3820 | 2013-05-16 |
| 1215288295 | Linda L Autry | Counselor | 104 Kelly Dr Ste D, Victoria, TX 77904-1551 | 2012-10-01 |
| Find all providers in VICTORIA | ||||
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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.