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LECRETIA BOLDEN
NPI 1124590633
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since December 21, 2018
3622 PROSPECT AVE E, CLEVELAND, OH 44115(216) 431-4600 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lecretia Bolden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LECRETIA BOLDEN (NPI 1124590633) is an individual addiction (substance use disorder) provider in Cleveland, Ohio and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1124590633
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLECRETIA BOLDEN
Location Address3622 PROSPECT AVE ECleveland, OH 44115-2704
Mailing Address25151 Zeman AveEuclid, OH 44132-1806 · (216) 858-0724
Phone(216) 431-4600
Sole ProprietorNo
Enumeration DateDecember 21, 2018
✔ NPI 1124590633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3622 PROSPECT AVE E, Cleveland, OH 44115
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RYAN C MOORE SR.
Case Manager/Care Coordinator
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MRS. ANTOINETTE MARLENE WHITT
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MADISON BREWER
Counselor (Professional)
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
DARLA MICHELE CHARACTER-JOHNSON CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
PETER GABRIEL INOSHITA
Specialist/Technologist, Health Information (Registered Record Administrator)
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MRS. PAULA HUNT CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
REBECCA THWING
Student in an Organized Health Care Education/Training Program
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
KATHERINE ANN FANTA LPC
Counselor (Professional)
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600

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 Lecretia Bolden's NPI number?

The NPI number for Lecretia Bolden is 1124590633. It was assigned to this individual provider in the NPPES registry on December 21, 2018.

Where is Lecretia Bolden located?

Lecretia Bolden practices at 3622 Prospect Ave E, Cleveland, OH 44115. The listed phone number is (216) 431-4600.

What is Lecretia Bolden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lecretia Bolden was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.