AMIR DAI BOLER LCMHCA NPI 1093319089

NPI Information

  • NPI: 1093319089
  • Provider Name: AMIR DAI BOLER, LCMHCA
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5700 EXECUTIVE CENTER DR STE 200
    CHARLOTTE, NC
    ZIP 28212
  • Phone: (704) 832-2200

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NPI Details

Amir Dai Boler, LCMHCA is a professional counselor in Charlotte, NC. Amir Dai Boler, LCMHCA NPI is 1093319089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5700 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC
ZIP 28212-833
Phone: (704) 832-2200
Fax: (704) 494-7796

The enumeration date for this NPI number is 11/30/2020 and was last updated on 11/30/2020.

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 License Number License State Primary
1101YP2500XCounselorProfessionalA16141NORTH CAROLINAYes

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
1A16141OTHERNORTH CAROLINALICENSE

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: 11/21/2025

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