Mbold Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MBOLD INC

Practice address

1010 Quaye Lake
Circle #202
Wellington, FL 33411-5077

Phone

(561) 774-5096

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By 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

Chris Mitchell

Title

Owner

Phone

(561) 774-5096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1518727189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 QUAYE LAKE",
            "address_2": "CIRCLE #202",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334115077",
            "telephone_number": "561-774-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 QUAYE LAKE",
            "address_2": "CIRCLE #202",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334115077",
            "telephone_number": "561-774-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBOLD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-774-5096"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Da Vid May, M.D.
• Gabrielle Hope Mayers, MD
• Jillian Michelle Mazza, LMHC
• Scott Anthony Mazza, PHARM.D.
• Chinyere Chris Mbaeri, M.D.
• David Alexander Ker McAlpine, DPT
• Alison McAvoy, P.T.
• Tiffany N McCalla, M.D.
• Margaret McCarrick, RN
• Debralyn M McClarnon

• Mental Health Counselor in Wellington, FL
• Providers in Wellington, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.