person
Dr. Brian Keith Bolen, PSYD,LMHC
Mental Health Counselor in Tampa, Florida
NPI 1356677421

Brian Keith Bolen is a Mental Health Counselor based in Wesley Chapel, FL and is specialized in Mental Health. Brian Keith Bolen practices in Tampa, FL and has the professional credentials of PSYD,LMHC. The NPI Number for Brian Keith Bolen is 1356677421 and holds a License No. MH8545 (Florida).

The current practice location address for Brian Keith Bolen is 3903 Northdale Blvd Ste 100-47, Tampa, FL and can be reached out via phone at 813-817-8498 and via fax at 813-406-5158.

Location: 3903 Northdale Blvd Ste 100-47, Tampa, FL, 33544-8500
person
Provider Profile Details
NPI Number
1356677421
Provider Name
Brian Keith Bolen
Credential
PSYD,LMHC
Provider Entity Type
Individual
Gender
Male
Address
3903 Northdale Blvd Ste 100-47, Tampa, FL, 33544-8500
Phone Number
813-817-8498
Fax Number
813-406-5158
Provider Enumeration Date
10/26/2009
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
3903 Northdale Blvd Ste 100-47
City
State
Zip
33624-1864
Phone Number
813-817-8498
Fax Number
813-406-5158
person
Provider Business Mailing Address Details
Address
3903 Northdale Blvd Ste 100-47
City
State
Zip
33624-1864
Phone Number
813-817-8498
Fax Number
813-406-5158
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAP 2482 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH8545 (Florida)
Definition
Definition to come...
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