Provider Demographics
NPI:1003535212
Name:BOLDEN, ALBERSHIA
Entity type:Individual
Prefix:
First Name:ALBERSHIA
Middle Name:
Last Name:BOLDEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6907 OLD HWY 165
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:LA
Mailing Address - Zip Code:71418-0072
Mailing Address - Country:US
Mailing Address - Phone:318-649-6399
Mailing Address - Fax:
Practice Address - Street 1:1162 OLIVER RD STE 4
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5757
Practice Address - Country:US
Practice Address - Phone:318-787-6749
Practice Address - Fax:318-321-1967
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator