MEDICARE: CARRIE L. BOLDEN NCAC 1, ADC, SAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	017227	SC

General Provider Information

NPI Number	:	1487508776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE L. BOLDEN NCAC 1, ADC, SAP

Provider Business Mailing Address
First Line	:	2711 COLONIAL DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6818
Country	:	US
Telephone Number	:	803-726-9492
Fax Number	:

Provider Business Practice Location Address
First Line	:	2711 COLONIAL DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6818
Country	:	US
Telephone Number	:	803-726-9492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

Similar Medicare Providers

1548819188 — SANDRITA MONIQUE EADDY FNP
Practice Location Address:

2715 COLONIAL DR
COLUMBIA, SC
29203-6818

Practice Phone: 803-898-4800
Practice Fax:

1457405169 — MS. DONNA A NICHOLAS RN
Practice Location Address:

2715 COLONIAL DR
COLUMBIA, SC
29203-6818

Practice Phone: 803-635-4689
Practice Fax: 803-635-8056

1669234837 — KIMBERLY GORDON MSW
Practice Location Address:

2715 COLONIAL DR
COLUMBIA, SC
29203-6818

Practice Phone: 803-898-4877
Practice Fax: 803-898-4855

1114983459 — WILLIAM CLYDE HARRIS
Practice Location Address:

2711 COLONIAL DR
COLUMBIA, SC
29203-6818

Practice Phone: 706-542-9700
Practice Fax: 706-542-9693

1457309106 — DR. JULIET RUIZ IGAMA M.D.
Practice Location Address:

2715 COLONIAL DR. SUITE 200B
COLUMBIA, SC
29203-6818

Practice Phone: 803-397-5285
Practice Fax: 803-898-4892

1093748709 — LAQUANDRA KRITESE NESMITH M.A.
Practice Location Address:

2715 COLONIAL DR
COLUMBIA, SC
29203-6818

Practice Phone: 803-898-4777
Practice Fax: 803-898-4855

Directions to “ CARRIE L. BOLDEN NCAC 1, ADC, SAP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.