National Provider Identifier

Misty Boldt, LMSW

Misty Boldt, LMSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in East Rochester, NY and a listed phone number of (585) 750-5208.

NPI 1154199818East Rochester, NYMental Health Counselor

Profile Overview

NPI
1154199818
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
December 12, 2023
Last Updated
December 12, 2023

Practice Location

  • 211 Walnut St
  • East Rochester, NY 14445-1358

Phone: (585) 750-5208

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1154199818
Entity Type
Individual
Last Name
Boldt
First Name
Misty
Credential
LMSW
Mailing Street Address
211 Walnut St
Mailing City
East Rochester
Mailing State
NY
Mailing ZIP Code
14445-1358
Mailing Country
US
Mailing Phone
(585) 750-5208
Practice Street Address
211 Walnut St
Practice City
East Rochester
Practice State
NY
Practice ZIP Code
14445-1358
Practice Country
US
Practice Phone
(585) 750-5208
Enumeration Date
December 12, 2023
Last Updated
December 12, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
December 12, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)