LAVONDA BOULER
NPI 1003735275
Counselor - Mental Health in Jackson, MI
About Lavonda Bouler NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAVONDA BOULER (NPI 1003735275) is an individual mental health provider in Jackson, Michigan, licensed in Michigan (6451025053) and active in the NPI registry since July 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MI 49201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lavonda Bouler's NPI number?
The NPI number for Lavonda Bouler is 1003735275. It was assigned to this individual provider in the NPPES registry on July 13, 2026.
Where is Lavonda Bouler located?
Lavonda Bouler practices at 720 W Franklin St, Jackson, MI 49201. The listed phone number is (734) 726-4038.
What is Lavonda Bouler's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Lavonda Bouler was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lavonda Bouler · NPI 1003735275
Mental Health provider in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since July 13, 2026.
## Identity
- **NPI:** 1003735275 (Entity type: Individual)
- **Enumerated:** July 13, 2026
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6451025053 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 W FRANKLIN ST, Jackson, MI 49201-1674
- **Phone:** (734) 726-4038
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003735275) · Data from the CMS NPPES public registry.