Organization
T BOLAND ARNP LMFT PHDC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA MARIE BOLAND ARNP LMFT PHDC (OWNER)
(954) 577-0008
Entity
Organization
Contact information
Practice address
555 SW 148TH AVE, STE 130, SUNRISE, FL 33325
(954) 577-0008
(954) 577-0339
Mailing address
1112 WESTON RD, PMB 186, WESTON, FL 33326
(954) 577-0008
(954) 577-0339
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1542
FL
163W00000X
Registered Nurse
ARNP1838792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344908900
—
FL
Enumeration date
04/01/2006
Last updated
09/11/2025
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