Healthcare Provider Details

I. General information

NPI: 1750637757
Provider Name (Legal Business Name): BOLTON COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 S CHURCH ST STE 805
MURFREESBORO TN
37130-4983
US

IV. Provider business mailing address

745 S CHURCH ST STE 805
MURFREESBORO TN
37130-4983
US

V. Phone/Fax

Practice location:
  • Phone: 615-624-4481
  • Fax:
Mailing address:
  • Phone: 615-624-4481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: KEVIN LEE BOLTON
Title or Position: OWNER
Credential: LPC-MHSP, MT-BC
Phone: 615-624-4481