Boller, Courtney
Boller, Courtney is an sole proprietor health care provider with primary practice located at 635 Cox Rd Unit B, Gastonia NC 28054-3424. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Boller, Courtney can be contacted via phone (704) 691-7561.Contact Information
Primary practice address
635 Cox Rd Unit B
Gastonia NC 28054-3424
Phone: (704) 691-7561
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 10076A | North Carolina |
Profile Details
| NPI number | 1205202165 |
|---|---|
| LBN Legal business name | Boller, Courtney |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2015 |
| Last updated | Aug 14th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205202165 | NPPES |
| North Carolina | MEDICAID | 1093949109 |
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