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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

NPI # 1023814654
LBN Legal business name LIVING BOLDEN LLC
Authorized official NICOLE WOODCOX BOLDEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2025
Last updated 02/24/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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