Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fannie Bolden, AT

Individual provider Counselor · NPI 1558518928

Fannie Bolden, AT is a Counselor in Lake Village, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

608 S Highway 65 82 Ste B
Lake Village, AR 71653-1743
Phone: (870) 265-3711
Fax: (870) 265-3707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1558518928
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT
Sole proprietorYes
NPI enumeratedAugust 27, 2008
Last updated in NPPESAugust 27, 2008
Mailing address5537 Bleaux Ave, Springdale, AR 72762-0737

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