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

Larry Bolden, BA, SST

Individual provider Case Manager/Care Coordinator · NPI 1265772446

Larry Bolden, BA, SST is a Case Manager/Care Coordinator in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

2939 Russell St
Detroit, MI 48207-4825
Phone: (313) 396-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 6803086288 (MI)

Record details

NPI number1265772446
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , SST
Sole proprietorNo
NPI enumeratedFebruary 25, 2013
Last updated in NPPESFebruary 25, 2013
Mailing address7512 Woodview St, Apt. 203, Westland, MI 48185-5937

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