Bold Horizons LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BOLD HORIZONS LLC

Practice address

1205 N 18TH St Ste 210
Monroe, LA 71201-5462

Phone

(318) 503-8553

Fax

(800) 613-4669

NPI assigned

Aug 1, 2024

Last updated

Mar 3, 2025By 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

Markita DismukeNPI 1043553894

Title

Owner/Manager

Phone

(318) 503-8553

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 10

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.

• Jaschandria Bell, APRN, PMHNP-BC FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1407264989
  Medicare reassignment NPD
• Karen Marie George, M.D.

  • Psychiatry Physician
  • West Monroe, LA
  • NPI 1932498284
  Medicare reassignment NPD
• Markita Dismuke

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, LA
  • NPI 1043553894
  NPD Authorized official
• Jimearia Laeshun Briggs

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, LA
  • NPI 1962284596
  NPD (past)
• Tiffany Conwell, CIT 5488

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1053039834
  NPD (past)
• Pearley Grimes

  • Case Manager/Care Coordinator
  • Rayville, LA
  • NPI 1306477435
  NPD (past)
• Dajia Johnson

  • Clinical Social Worker
  • Monroe, LA
  • NPI 1497287882
  NPD (past)
• Reata Peoples

  • Case Manager/Care Coordinator
  • Shreveport, LA
  • NPI 1154781235
  NPD (past)
• Tallundrea M Taylor, CIT

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, LA
  • NPI 1730876475
  NPD (past)
• Brittney Welch

  • Case Manager/Care Coordinator
  • Monroe, LA
  • NPI 1407399074
  NPD (past)

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1629808092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HIGHWAY 134",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036774",
            "telephone_number": "318-503-8553",
            "fax_number": "800-613-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N 18TH ST STE 210",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015462",
            "telephone_number": "318-503-8553",
            "fax_number": "800-613-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD HORIZONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "DISMUKE",
        "authorized_official_first_name": "MARKITA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "318-503-8553"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessing Heart Care Service
• Blessings Beyond Skies Transportation LLC
• Courtney M Bloodsaw
• Eddye Blossom II, MD
• Candice Boatner
• Albershia Bolden
• Amanda Lee Bolden
• Brenda Bolden
• Shawanda Bolden
• Carlias Bolds

• Substance Use Disorder Rehabilitation Clinic/Center in Monroe, LA
• Providers in Monroe, LA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.