Bolles, Mary Kathleen

Bolles, Mary Kathleen is an individual health care provider with primary practice located at 3705 Medical Parkway, #450 Austin Medical Plaza, Austin TX 78705. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bolles, Mary Kathleen can be contacted via phone (512) 306-0061.

Contact Information

Primary practice address
3705 Medical Parkway, #450 Austin Medical Plaza Austin TX 78705
Phone: (512) 306-0061
Fax: (512) 306-0069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13337 Texas
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 521247 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 521247 Texas

Profile Details

NPI number 1124037957
LBN Legal business name Bolles, Mary Kathleen
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Oct 28th, 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.

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