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Contact Information

LIVING BOLDEN LLC
10 N MARTINGALE RD STE 400
SCHAUMBURG, IL60173-2411
 Phone: 312-779-0730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Health & Wellness Coach

171400000X
 

Mental Health

101YM0800X
 

School

1041S0200X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LIVING BOLDEN LLC · (Female)

NPI # 1023814654
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2025
Last updated 02/24/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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