Provider Demographics
NPI:1851982052
Name:BOLDEN, CHELSEYAH (LPC)
Entity Type:Individual
Prefix:
First Name:CHELSEYAH
Middle Name:
Last Name:BOLDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4628 ROSENEATH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1622
Mailing Address - Country:US
Mailing Address - Phone:832-469-1718
Mailing Address - Fax:
Practice Address - Street 1:3000 WESLAYAN ST STE 274
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5740
Practice Address - Country:US
Practice Address - Phone:346-444-9038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-30
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81846101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health