Joy Marie Bolger, M.S. LMHC

Individual provider Active NPI Mental Health Counselor · Bohemia, NY

NPI 1902173156 · NPPES record last updated Nov 16, 2011

Key facts

NPI
1902173156
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
004729 (NY)
Practice address
1500 Ocean Ave
Bohemia, NY 11716-1924
Phone
(631) 513-3226
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
004729NYMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004729 NY Yes

Addresses

Primary practice location

1500 Ocean Ave
Bohemia, NY 11716-1924

Mailing address

362 Silva St
Holbrook, NY 11741-2912
Phone (631) 513-3226

Other providers in Bohemia, NY

All providers in Bohemia, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.