Provider Demographics
NPI:1275305989
Name:TOLDEN, CHARLES (QMHP)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:TOLDEN
Suffix:
Gender:M
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2922 ROSEDALE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6188
Mailing Address - Country:US
Mailing Address - Phone:409-781-9221
Mailing Address - Fax:
Practice Address - Street 1:2922 ROSEDALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6188
Practice Address - Country:US
Practice Address - Phone:409-781-9221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator