Provider Demographics
NPI:1235750993
Name:BOLDS, TAYLAR (MA, MSW)
Entity Type:Individual
Prefix:
First Name:TAYLAR
Middle Name:
Last Name:BOLDS
Suffix:
Gender:F
Credentials:MA, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 10TH STREET BLVD NW APT E
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2397
Mailing Address - Country:US
Mailing Address - Phone:330-280-0346
Mailing Address - Fax:
Practice Address - Street 1:895 STATE FARM RD STE 506
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5392
Practice Address - Country:US
Practice Address - Phone:828-268-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker