BOLD RULER LLC NPI 1316404544

NPI Information

NPI: 1316404544
Provider Name: BOLD RULER, LLC

Doing Business As: SUMMIT COUNSELING SERVICES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
957 W 21ST ST STE L
NORFOLK, VA
ZIP 23517
Phone: (757) 280-1777
Get Directions

BOLD RULER, LLC is a professional counselor in Norfolk, VA. BOLD RULER, LLC NPI is 1316404544. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Summit Counseling Services.

The provider's business location address is:

957 W 21ST ST STE L
NORFOLK, VA
ZIP 23517-536
Phone: (757) 280-1777
Fax: (757) 585-3521

The provider's authorized official is Laura S. Maloney .
The authorized official title is Owner/clinician and has the following contact phone number (757) 472-1379.

The enumeration date for this NPI number is 2/24/2019 and was last updated on 4/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	1041C0700X	Social Worker	Clinical	No
3	106H00000X	Marriage & Family Therapist		No
4	101YP2500X	Counselor	Professional	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010001625	MEDICAID	VIRGINIA
2	0717001169	OTHER	VIRGINIA	LMFT
3	0701003466	OTHER	VIRGINIA	LPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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