Provider Demographics
NPI:1366891913
Name:BOLTER COUNSELING AND CONSULTING, PLLC
Entity type:Organization
Organization Name:BOLTER COUNSELING AND CONSULTING, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOLTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCAS
Authorized Official - Phone:828-279-4985
Mailing Address - Street 1:87 FOREST LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-9000
Mailing Address - Country:US
Mailing Address - Phone:828-279-4985
Mailing Address - Fax:
Practice Address - Street 1:44 MERRIMON AVE STE 1
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2352
Practice Address - Country:US
Practice Address - Phone:828-279-4985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0068571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty