Provider Demographics
NPI:1144090523
Name:BOUNDS, KRISTEN (LMFTA)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:BOUNDS
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 MAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CREEDMOOR
Mailing Address - State:NC
Mailing Address - Zip Code:27522-7002
Mailing Address - Country:US
Mailing Address - Phone:919-201-0015
Mailing Address - Fax:
Practice Address - Street 1:1513 WALNUT ST STE 215
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5900
Practice Address - Country:US
Practice Address - Phone:919-909-1230
Practice Address - Fax:919-726-7193
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12541A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health