Individual
MACHELLE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 EDGEFIELD ST, GREENWOOD, SC 29646-3205
(864) 227-3908
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10731
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
06/16/2023
Last updated
02/28/2025
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