Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962059998 Individual Practitioner Female Practitioner

Samantha Nicole Bolden

Counselor - Professional • Dothan, AL

Professional Overview & Biography Verified Profile Summary

Samantha Bolden is a registered healthcare professional specializing in Counselor - Professional in Dothan, AL. Practice services are available at 113 E FONTANA CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

113 E Fontana Cir

Dothan, AL 363058301

Telephone 3347902133
Associated Practice Facility / Clinic
🏢 The Mending Place, Llc Facility NPI 1710609953

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dothan, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.8 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
82 Specialists

Practicing in Dothan, AL (1850 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AL 4128

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 12, 2023

Registered at 113 E FONTANA CIR, DOTHAN, AL 363058301 (Tel: 3347902133)

NPI Profile Active August 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2019

Registered at 1001 JOHN D. ODOM ROAD, DOTHAN, AL 36305 (Tel: 3347943771)

📍
Updated Business Mailing Address August 23, 2019

Registered at 113 E FONTANA CIR, DOTHAN, AL 363058301

👤
Provider Name / Credentials Updated August 23, 2019

Recorded as SAMANTHA BOLDEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2019

Counselor (License #4128 in AL)

🟢
Initial NPI Registration & Enumeration August 23, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962059998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2019
Last Update: July 12, 2023
Sole Proprietor: No

Mailing Address

113 E Fontana Cir

Dothan, AL 363058301

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.