Provider Demographics
NPI:1972105393
Name:NOLA ADULTING
Entity type:Organization
Organization Name:NOLA ADULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:PHILOMENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLCE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:424-260-6206
Mailing Address - Street 1:4302 HOLLYWOOD BLVD # 81
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6635
Mailing Address - Country:US
Mailing Address - Phone:305-316-1316
Mailing Address - Fax:
Practice Address - Street 1:2033 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4509
Practice Address - Country:US
Practice Address - Phone:424-260-6206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)