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LARRY PAUL BOLAIN II
NPI 1477390649
Peer Specialist in Sapulpa, OK

Active since July 13, 2024
11680 S 153RD WEST AVE, SAPULPA, OK 74066(918) 889-2310 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Larry Paul Bolain Ii NPPES

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

LARRY PAUL BOLAIN II (NPI 1477390649) is an individual peer specialist in Sapulpa, Oklahoma and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1477390649
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameLARRY PAUL BOLAIN II
Location Address11680 S 153RD WEST AVESapulpa, OK 74066-8564
Mailing Address11680 S 153rd West AveSapulpa, OK 74066-8564 · (918) 889-2310
Phone(918) 889-2310
Sole ProprietorYes
Enumeration DateJuly 13, 2024
NPPES CertifiedJuly 13, 2024
✔ NPI 1477390649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

11680 S 153RD WEST AVE, Sapulpa, OK 74066
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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.

KERA TAYLOR
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684
SUE ANN DAY
Peer Specialist
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4685
TIFFANY DAY
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4685
LEON YOUNG
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (539) 238-6024
JIM HOSKINS
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684
JERRY SHIPP
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684
DENNIS SMITH
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684
DEWAYNE SEQUICHIE
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684

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 Larry Bolain's NPI number?

The NPI number for Larry Bolain is 1477390649. It was assigned to this individual provider in the NPPES registry on July 13, 2024.

Where is Larry Bolain located?

Larry Bolain practices at 11680 S 153rd West Ave, Sapulpa, OK 74066. The listed phone number is (918) 889-2310.

What is Larry Bolain's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Larry Bolain was last updated on July 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.