# T BOLAND ARNP LMFT PHDC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114988607
- **Authorized official:** MS. TERESA MARIE BOLAND ARNP LMFT PHDC (OWNER)
- **Authorized official phone:** (954) 577-0008

## Contact information

- **Practice address:** 555 SW 148TH AVE, STE 130, SUNRISE, FL 33325
- **Practice address phone:** (954) 577-0008
- **Practice address fax:** (954) 577-0339
- **Mailing address:** 1112 WESTON RD, PMB 186, WESTON, FL 33326
- **Mailing address phone:** (954) 577-0008
- **Mailing address fax:** (954) 577-0339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT1542 | FL | Yes |
| 163W00000X | Registered Nurse | ARNP1838792 | FL | — |

## Other

- **Enumeration date:** 04/01/2006
- **Last updated:** 09/11/2025
