Provider Demographics
NPI:1043850027
Name:BOLAR THERAPY AND CONSULTING CENTER, LLC
Entity type:Organization
Organization Name:BOLAR THERAPY AND CONSULTING CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR. OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:BOLAR
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S, LICDC
Authorized Official - Phone:513-418-8820
Mailing Address - Street 1:11851 ELKWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240
Mailing Address - Country:US
Mailing Address - Phone:513-205-8320
Mailing Address - Fax:
Practice Address - Street 1:10945 REED HARTMAN HWY STE 216
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2853
Practice Address - Country:US
Practice Address - Phone:513-488-8820
Practice Address - Fax:513-434-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty