IndividualActive
Fannie Bolden, AT
NPI 1558518928 · Counselor · Lake Village, AR
Fannie Bolden, AT is a Counselor provider in Lake Village, AR (NPI 1558518928).
Provider details
- NPI number
- 1558518928
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- AT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
608 S Highway 65 82
Ste B
Lake Village, AR 71653-1743
Phone: (870) 265-3711
Fax: (870) 265-3707
Street-level locationGet directions
Mailing address
5537 Bleaux Ave
Springdale, AR 72762-0737
Registry dates
- Enumerated
- 2008-08-27
- Last updated
- 2008-08-27
Frequently asked questions
- What is Fannie Bolden's NPI number?
- Fannie Bolden's National Provider Identifier (NPI) is 1558518928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fannie Bolden's specialty?
- Fannie Bolden is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Fannie Bolden located?
- Fannie Bolden's practice location on file with NPPES is 608 S Highway 65 82, Lake Village, AR 71653-1743.
- What is Fannie Bolden's phone number?
- The practice phone number listed in the NPPES registry for Fannie Bolden is (870) 265-3711.
- Is Fannie Bolden's NPI active?
- Yes — Fannie Bolden's NPI (1558518928) is active in the NPPES registry as of the last update on 2008-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.