Letitia Bolds (NPI# 1144529652, PAC ID# 6002148707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1144529652 |
| PAC ID by PECOS | 6002148707 |
| Professional Enrollment ID | I20191030001109 |
| Full Name | Letitia Bolds |
| Organization Legal Name | BROOK LANE BEHAVIORAL SERVICES, INC. |
| Address |
4540 Mack Ave Suite B Frederick MD 21703-3303 |
| Phone Number | 3017330330 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 5991055022 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 | 3017330330 | BROOK LANE BEHAVIORAL SERVICES, INC. |
| Organization Legal Name | BROOK LANE BEHAVIORAL SERVICES, INC. |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gratia Johns Boehme | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 13215 Brook Lane, Hagerstown, MD 21742-1435 |
| Jamal K Fawaz | Psychiatry | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Vicki S Churchey | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Chinyere Ugwanyi | Nurse Practitioner | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Christopher Wheatley | Nurse Practitioner | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| David Gonzalez-cawley | Psychiatry | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Rena V Arnold | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Jenna R Garner | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Jeanne Olson Reed | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Sarah B Schiffres-grove | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Street Address |
4540 MACK AVE SUITE B |
| City | FREDERICK |
| State | MD |
| Zip | 21703-3303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamal K Fawaz | Psychiatry | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Vicki S Churchey | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Chinyere Ugwanyi | Nurse Practitioner | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Christopher Wheatley | Nurse Practitioner | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| David Gonzalez-cawley | Psychiatry | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Rena V Arnold | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Jenna R Garner | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Jeanne Olson Reed | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Sarah B Schiffres-grove | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Nancy Miller | Clinical Social Worker | Brook Lane Behavioral Services, Inc. | 4540 Mack Ave, Suite B, Frederick, MD 21703-3303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir A Rashidian | Chiropractic | 7196 Crestwood Blvd, Suite 100, Frederick, MD 21703-1845 | |
| Amr Hegazi | Hematology/oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
| Kanan H Hudhud | Hematology/oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
| Nouman Asif | Medical Oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
| Sadaf Taimur | Hematology/oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
| Sandra Bloom | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 5216 Chairmans Ct, Suite 102, Frederick, MD 21703-2858 |
| Holly M Gross | Ophthalmology | Central Maryland Eye Associates PC | 5283 Corporate Dr, Suite 201, Frederick, MD 21703-2879 |
| Thu T Pham | Ophthalmology | Central Maryland Eye Associates PC | 5283 Corporate Dr, Suite 201, Frederick, MD 21703-2879 |
| Amanda Jean Lievendag | Physical Therapy | Red Canyon LLC | 7200 Bank Ct, Suite 110, Frederick, MD 21703-2886 |
| Greesh John | Anesthesiology | Pain and Spine Specialists of Maryland LLC | 7200 Bank Ct, Suite 120, Frederick, MD 21703-2886 |
| Find all physicians in zip 21703 | |||
| City | FREDERICK |
| Zip Code | 21703 |
| Specialty | PSYCHIATRY |
| City + Specialty | FREDERICK + PSYCHIATRY |
Please comment or provide details below to improve the information on Letitia Bolds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.