LATAIRRICKA07/11/198 BOLDEN
NPI 1508541004
Case Manager/Care Coordinator in West Memphis, AR

Q: What is Latairricka07/11/198 Bolden's NPI number?

The NPI number for Latairricka07/11/198 Bolden is 1508541004. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Q: What is Latairricka07/11/198 Bolden's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since June 21, 2023

103 S AVALON ST, WEST MEMPHIS, AR 72301(870) 732-1878(870) 702-7111 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Latairricka07/11/198 Bolden NPPES

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

LATAIRRICKA07/11/198 BOLDEN (NPI 1508541004) is an individual case manager/care coordinator provider in West Memphis, Arkansas and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1508541004

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameLATAIRRICKA07/11/198 BOLDEN

Location Address103 S AVALON STWest Memphis, AR 72301-4165

Mailing Address103 S Avalon StWest Memphis, AR 72301-4165 · (870) 732-1878 · Fax (870) 702-7111

Phone(870) 732-1878

Fax(870) 702-7111

Sole ProprietorNo

Enumeration DateJune 21, 2023

NPPES CertifiedJune 21, 2023

✔ NPI 1508541004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

103 S AVALON ST, West Memphis, AR 72301

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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.

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