Provider Demographics
NPI:1720428097
Name:BOLWARI-ANDREWS, TULSI SUNDARE (MS)
Entity Type:Individual
Prefix:
First Name:TULSI
Middle Name:SUNDARE
Last Name:BOLWARI-ANDREWS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:TULSI
Other - Middle Name:
Other - Last Name:BOLWARI-MONTEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6655 US HWY 36
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123
Mailing Address - Country:US
Mailing Address - Phone:888-714-1927
Mailing Address - Fax:317-272-0807
Practice Address - Street 1:6655 US HWY 36
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123
Practice Address - Country:US
Practice Address - Phone:888-714-1927
Practice Address - Fax:317-272-0807
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health