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General NPI Number Information
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NPI Number | 1427551860
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Entity Type | Organization
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Legal Business Name | BOLD HEARTS AND SOUND MINDS LLC
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1360 S FRETZ DR STE 107
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City | EDMOND
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State | OK
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Zip | 73003-5869
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Country | US
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Telephone | 405-757-1777
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Fax | 405-805-6351
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Provider Business Mailing Address
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Address Line | PO BOX 1992
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City | EDMOND
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State | OK
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Zip | 73083-1992
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Country | US
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Telephone | 405-757-1777
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Fax | 405-805-6352
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Authorized Official
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Title or Position | CEO
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Name | ESTHER ABIGAIL BOLD
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Credential | MA, LPC, LADC, CCTP
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Telephone | 405-757-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 5008
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 5008
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License Number State | OK
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