Alexandra Adele Bollas | Royal Oak, MI • PECOS Search

Alexandra Adele Bollas

Counselor

Behavioral Health & Social Service Providers

220 S Main St, Royal Oak, MI 48067-2676

PECOS Enrollment

Based on the most recent information from CMS, provider Alexandra Adele Bollas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1144079534
Provider Type
Individual
Full Name
Bollas, Alexandra Adele
Gender
Female

Sole Proprietor
No
Enumeration Date
5/16/2024
Last Updated
3/12/2025

Contact Information

Practice Location

220 S Main St, Royal Oak, MI 48067-2676

Unlisted Fax

Mailing Location

220 S Main St, Royal Oak, MI 48067-2676

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 6451024136 Michigan