Pamela Joy Bolen
Individual provider Active NPI Professional Counselor · Colleyville, TX
NPI 1821680109 · NPPES record last updated Feb 8, 2021
Key facts
- NPI
- 1821680109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 11241 (TX)
- Practice address
- 6222 Colleyville Blvd Ste a
Colleyville, TX 76034-6275 - Phone
- (817) 416-5867
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DFW Apple Dental, PC | Current |
Accepting new patients |
Locations
6222 Colleyville Blvd
Ste A
Colleyville, TX 76034
Phone (817) 416-5867
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11241 | TX | Yes |
Addresses
Primary practice location
6222 Colleyville Blvd Ste a
Colleyville, TX 76034-6275
Mailing address
6222 Colleyville Blvd Ste a
Colleyville, TX 76034-6275
Phone (817) 416-5867
Other providers in Colleyville, TX
- Andrea Bernsen
- Sarah Michelle Billingsley
- Kelsey Birk
- Gaylen Blassingame
- Body Spirit & Soul Medical PLLC
- Kathleen Boone
- Brent W Bost
- Jerry J Boyd
- Bryan Richard Bradford
- Steven Branberg
All providers in Colleyville, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.