Provider Demographics
NPI:1922384346
Name:TOTAL HEALTH SOLUTIONS, INC.
Entity Type:Organization
Organization Name:TOTAL HEALTH SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOLAND
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, LMFT, PHD ABD
Authorized Official - Phone:954-577-0008
Mailing Address - Street 1:PMB 186
Mailing Address - Street 2:1112 WESTON RD
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326
Mailing Address - Country:US
Mailing Address - Phone:954-577-0008
Mailing Address - Fax:954-920-0559
Practice Address - Street 1:2645 EXECUTIVE PARK DR.
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331
Practice Address - Country:US
Practice Address - Phone:954-577-0008
Practice Address - Fax:954-920-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18387922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty