Provider Demographics
NPI:1508670001
Name:BOLLING, DIAMOND (NBC-HWC)
Entity type:Individual
Prefix:
First Name:DIAMOND
Middle Name:
Last Name:BOLLING
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 CARRIAGE PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-4259
Mailing Address - Country:US
Mailing Address - Phone:864-404-5758
Mailing Address - Fax:
Practice Address - Street 1:8301 CIPOLLINI ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4286
Practice Address - Country:US
Practice Address - Phone:864-404-5758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCA-3889320171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach