Organization Active NPI

T Boland Arnp LMFT PHDC Inc

  • Marriage & Family Therapist
  • Sunrise, FL
National Provider Identifier
1114988607
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT1542 Issued in FL
Legal business name
T BOLAND ARNP LMFT PHDC INC
Practice address
555 SW 148TH Ave
Ste 130
Sunrise, FL 33325
Phone
(954) 577-0008
Fax
(954) 577-0339
NPI assigned
Apr 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Teresa Marie Boland, ARNP LMFT PHDCNPI 1326025826
Title
Owner
Phone
(954) 577-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT1542 FL Primary
Registered Nurse 163W00000X ARNP1838792 FL

Addresses

Primary practice location

555 SW 148TH Ave
Ste 130
Sunrise, FL 33325

Mailing address

1112 Weston Rd
PMB 186
Weston, FL 33326
Phone (954) 577-0008

Other identifiers 1

IdentifierTypeStateIssuer
0344908900MedicaidFL

National Provider Directory

National Provider Directory

Locations

555 SW 148th Ave
Ste 130
Davie, FL 33325
Phone (954) 577-0008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114988607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WESTON RD",
            "address_2": "PMB 186",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-577-0008",
            "fax_number": "954-577-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SW 148TH AVE",
            "address_2": "STE 130",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33325",
            "telephone_number": "954-577-0008",
            "fax_number": "954-577-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T BOLAND ARNP LMFT PHDC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-577-0008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP  LMFT  PHDC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1542",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP1838792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344908900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.