| Lynda E Bolt, Lmhc, Pa | |
|
151 Mary Esther Blvd Suite 302 Mary Esther FL 32569-1972 | |
| (850) 865-8541 | |
| Not Available |
| Full Name | Lynda E Bolt, Lmhc, Pa |
|---|---|
| Speciality | Counselor |
| Location | 151 Mary Esther Blvd, Mary Esther, Florida |
| Authorized Official Name and Position | Lynda Bolt (OWNER) |
| Authorized Official Contact | 8508658541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynda E Bolt, Lmhc, Pa Po Box 388 Fort Walton Beach FL 32549-0388 Ph: (850) 865-8541 | Lynda E Bolt, Lmhc, Pa 151 Mary Esther Blvd Suite 302 Mary Esther FL 32569-1972 Ph: (850) 865-8541 |
| NPI Number | 1871909374 |
|---|---|
| Provider Enumeration Date | 07/03/2014 |
| Last Update Date | 07/03/2014 |
| Medicare PECOS PAC ID | 8628421591 |
|---|---|
| Medicare Enrollment ID | O20240126001463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871909374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3656 (Florida) | Primary |
| Provider Name | Lynda E Bolt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497796502 PECOS PAC ID: 1355794223 Enrollment ID: I20240222001182 |
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