Organization Active NPI

Chris Boling LLC

  • Social Worker
  • Lafayette, LA
National Provider Identifier
1770885014
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10836 Issued in LA
Legal business name
CHRIS BOLING LLC
Practice address
234 Rue Beauregard
Ste 100
Lafayette, LA 70508-3285
Phone
(337) 593-0830
Fax
(337) 593-0122
NPI assigned
Nov 18, 2010
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRIS BOLINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Mr. Chris Boling, LCSW
Title
Owner
Phone
(337) 593-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10836 LA Primary

Addresses

Primary practice location

234 Rue Beauregard
Ste 100
Lafayette, LA 70508-3285

Mailing address

234 Rue Beauregard
Ste 100
Lafayette, LA 70508-3285
Phone (337) 593-0830

Other names 1

  • chris boling llc Former legal business name

National Provider Directory

National Provider Directory
Part of
Chris Boling LLC

Locations

2111 W Pinhook Rd
Ste B
Lafayette, LA 70508
Phone (337) 349-1767

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1770885014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 RUE BEAUREGARD",
            "address_2": "STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083285",
            "telephone_number": "337-593-0830",
            "fax_number": "337-593-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 RUE BEAUREGARD",
            "address_2": "STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083285",
            "telephone_number": "337-593-0830",
            "fax_number": "337-593-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS BOLING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRIS BOLING",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "BOLING",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-593-0830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "10836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chris boling llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.