MARTINA TIMESHA BOULWARE LPC NPI 1306669098

NPI Information

  • NPI: 1306669098
  • Provider Name: MARTINA TIMESHA BOULWARE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 840 CREEK BLUFF RD
    ROCK HILL, SC
    ZIP 29732
  • Phone: (803) 448-5778

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NPI Details

Martina Timesha Boulware, LPC is a professional counselor in Rock Hill, SC. Martina Timesha Boulware, LPC NPI is 1306669098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

840 CREEK BLUFF RD
ROCK HILL, SC
ZIP 29732-267
Phone: (803) 448-5778

The NPI 1306669098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/1/2024 and was last updated on 4/30/2025.

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
1101YP2500XCounselorProfessional10935SOUTH CAROLINAYes

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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