ESTELLA L BOLTON (NPI# 1942762646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942762646 |
| Entity Type | Individual |
| Full Name | ESTELLA L BOLTON |
| Practice Address |
3407 Shamrock Ct Gautier MS 39553-5337 |
| Practice Telephone | 2284970690 |
| Mailing Telephone | 2284970690 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3407 SHAMROCK CT |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626905 | Julie T Trice | Nurse Practitioner | 3407 Shamrock Ct, Gautier, MS 39553 | 2005-08-11 |
| 1144820689 | Erica Lynn Holden | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-10-26 |
| 1588271100 | Kayla Mitchell | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-09-28 |
| 1134733967 | Elizabeth Ann Shepard-bynum | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-31 |
| 1336751916 | Courtney Dale Trull | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-17 |
| 1073138509 | Thomas Gregory Hicks | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-06-10 |
| 1588287148 | Kaitlyn Hinton | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-18 |
| 1043832140 | Brenda Gail Miller | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-12 |
| 1639716517 | Chiquita Walker | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
| 1629615505 | Alexusia Jones | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437773546 | Delissa L Castleberry | Counselor | 7112 Home of Grace Dr, Gautier, MS 39553-2728 | 2020-06-04 |
| 1689173437 | Jennifer Heidelberg | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2018-02-07 |
| 1649602582 | Doris J Ledet | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2013-08-02 |
| 1649507690 | Lila Jo Kirkland | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-6429 | 2009-11-12 |
| 1477793404 | Wade Mitchell Ogletree | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-6429 | 2009-03-04 |
| 1639370331 | Nina Christine Heckler | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2007-05-30 |
| 1588875124 | Joseph Wayne Carman Jr. | Counselor | 3407 Shamrock Ct, Gautier, MS 39553 | 2007-05-25 |
| 1568545804 | Janet Patrick Stoudenmire | Counselor | 3407 Shamrock Court, Gautier, MS 39553 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
| 1710598586 | Candace L. Gillespie | Counselor | 829 W South St, Mound Bayou, MS 38762-9797 | 2020-08-13 |
| 1114537651 | Renee Gusta | Counselor | 2367 Trafalgar Dr, Biloxi, MS 39531-2277 | 2020-08-07 |
| 1003424078 | Marquita Lachette Wilson | Counselor | 315 N Madison St, Kosciusko, MS 39090-3341 | 2020-07-16 |
| 1942820717 | Cindy Marie Lescallette Mccarley | Counselor | 295 Willow Creek Dr, Vicksburg, MS 39183-9288 | 2020-04-22 |
| 1689202178 | Nicole Lynn Yenter | Counselor | 800 Van Buren Ave, Oxford, MS 38655-3844 | 2020-03-30 |
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1760022313 | Kyra Reed | Counselor | 3530a Manor Dr Ste 5, Vicksburg, MS 39180-5693 | 2020-01-12 |
| 1700426392 | Ziongloria Hezekiah | Counselor | 2436 Beach Blvd Apt X2, Biloxi, MS 39531-4907 | 2020-01-10 |
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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.