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KINNEDI BOLDEN
NPI 1124707542
Counselor - Mental Health in Saint Petersburg, FL

Active since July 13, 2023
4024 CENTRAL AVE, SAINT PETERSBURG, FL 33711(727) 327-7656 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kinnedi Bolden NPPES

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

KINNEDI BOLDEN (NPI 1124707542) is an individual mental health provider in Saint Petersburg, Florida and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1124707542
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKINNEDI BOLDEN
Location Address4024 CENTRAL AVESaint Petersburg, FL 33711-1239
Mailing AddressPo Box 10970Saint Petersburg, FL 33733-0970 · (727) 327-7656
Phone(727) 327-7656
Sole ProprietorYes
Enumeration DateJuly 13, 2023
NPPES CertifiedJuly 13, 2023
✔ NPI 1124707542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4024 CENTRAL AVE, Saint Petersburg, FL 33711
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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.

MS. KESHA B. BAKER CM
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
SHIELA LUANNE HAMMOND
Social Worker
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
CHRISTOPHER WEST
Case Manager/Care Coordinator
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 300-0063
LYTEASA SHAWNEA WEEKS
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
GERALD BASKIN
Counselor
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
BRIAN BROLSMA
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
WALTER B BLAKE
Counselor (Mental Health)
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
JOMON JOHN THEKKETHOTTIYIL
Social Worker (Clinical)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656

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 Kinnedi Bolden's NPI number?

The NPI number for Kinnedi Bolden is 1124707542. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Kinnedi Bolden located?

Kinnedi Bolden practices at 4024 Central Ave, Saint Petersburg, FL 33711. The listed phone number is (727) 327-7656.

What is Kinnedi Bolden'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 Kinnedi Bolden was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.