Provider Type Icon

B.O.L.D.L.Y. THERAPY A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPOR NPI 1932794245


NPI Information

NPI: 1932794245
Provider Name: B.O.L.D.L.Y. THERAPY A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPOR
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3200 E GUASTI RD STE 100
ONTARIO, CA
ZIP 91761
Phone: (323) 639-0558
Get Directions

B.O.L.D.L.Y. THERAPY A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPOR is a mental health (including community mental health center) clinic center in Ontario, CA. B.O.L.D.L.Y. THERAPY A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPOR NPI is 1932794245. The provider is registered as an organization entity type.

The provider's business location address is:

3200 E GUASTI RD STE 100
ONTARIO, CA
ZIP 91761-661
Phone: (323) 639-0558

The provider's authorized official is Brandi Nycole Walker .
The authorized official title is President and has the following contact phone number (323) 639-0558.

The enumeration date for this NPI number is 3/8/2021 and was last updated on 3/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.