Boldly Go, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

71100 Issued in TX

Legal business name

BOLDLY GO, INC.

Practice address

166 Babcock Rd
San Antonio, TX 78201-3806

Phone

(210) 834-3534

NPI assigned

Aug 3, 2018

Last updated

Aug 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvonne Pozos Garcia, LPCNPI 1154982932

Title

Director

Phone

(210) 834-3534

Specialties & licenses 1

Addresses

Locations

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.

• Yvonne Pozos Garcia, LPC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1154982932
  NPD Authorized official

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1417435132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013806",
            "telephone_number": "210-834-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013806",
            "telephone_number": "210-834-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLDLY GO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "POZOS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-834-3534",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Bolden
• Johnnetta Bolden, RBT
• Tayla Bolden
• Trina Bolden, LPC, LCDC
• James Bolding
• David H Boldt, M.D.
• Carlee C Boles, DDS
• Brandon L Bolfing, MD
• Sharon Jude Bolin, LCSW
• Leocarina Bolivar

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.