Bolanos, David Antony

Bolanos, David Antony is an sole proprietor health care provider with primary practice located at 1017 Weathered Wood Cir , Winter Springs FL 32708-4207. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bolanos, David Antony can be contacted via phone (321) 285-6605.

Contact Information

Primary practice address
1017 Weathered Wood Cir Winter Springs FL 32708-4207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 21174 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 21174 Florida

Profile Details

NPI number 1194446435
LBN Legal business name Bolanos, David Antony
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2022
Last updated Sep 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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