Gerald Bolnick
Individual provider Active NPI Mental Health Counselor · Palm City, FL
NPI 1104133255 · NPPES record last updated Sep 10, 2010
Key facts
- NPI
- 1104133255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH 6739 (FL)
- Practice address
- 3577 SW Corporate Pkwy
Palm City, FL 34990-8153 - Phone
- (772) 220-3439
- Fax
- (772) 220-3484
- NPI assigned
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 6739 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 6739 | FL | Yes |
Addresses
Primary practice location
3577 SW Corporate Pkwy
Palm City, FL 34990-8153
Mailing address
3577 SW Corporate Pkwy
Palm City, FL 34990-8153
Phone (772) 220-3439
Other providers in Palm City, FL
- Shaquicia R Birks
- Phyllis Bittel
- Kristin J Blanchet
- Amanda Dell Blanken
- Edward Ludwig Blendermann
- Jamie Lee Bonfante
- Stephanie Boniewski
- Dailena Jandy Borabe Sanchez
- Frederick Borowitz
- Sundia Bosquet
All providers in Palm City, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.