Bolen, Brian Keith

Bolen, Brian Keith is an sole proprietor health care provider with primary practice located at 4651 Wandering Way , Wesley Chapel FL 33544-8500. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bolen, Brian Keith can be contacted via phone (813) 907-0285.

Contact Information

Primary practice address
4651 Wandering Way Wesley Chapel FL 33544-8500
Phone: (813) 907-0285
Fax: (813) 406-5158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP 2482 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8545 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 8545 Florida

Profile Details

NPI number 1356677421
LBN Legal business name Bolen, Brian Keith
Credentials PSY. D., L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2009
Last updated Mar 8th, 2022 - about 3 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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