Provider Demographics
NPI:1992254684
Name:BOLLES, ERIN (LMHC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:BOLLES
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 STERN ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02835-2671
Mailing Address - Country:US
Mailing Address - Phone:401-239-9437
Mailing Address - Fax:
Practice Address - Street 1:2348 POST RD
Practice Address - Street 2:SUITE 107
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-681-4637
Practice Address - Fax:401-681-4675
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01078101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health