IndividualActive
Antonio Bolden, LPC
NPI 1386367001 · Professional Counselor · Blacksburg, VA
Provider details
- NPI number
- 1386367001
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0701011811 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2000 Kraft Dr Ste 1300
Blacksburg, VA 24060-6162
Phone: (540) 392-9228
Approximate (ZIP-level) locationGet directions
Mailing address
175 Huff Heritage Ln
Christiansburg, VA 24073-3897
Additional practice locations (1)
- 1020 First Colonial Rd Ste aVirginia Beach, VA 23454-3078Phone: (757) 395-1850Fax: (757) 222-9360
Registry dates
- Enumerated
- 2022-09-20
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.