Provider Demographics
NPI:1447510623
Name:BOYLE COUNSELING & CONSULTING LLC
Entity type:Organization
Organization Name:BOYLE COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:319-610-4179
Mailing Address - Street 1:722 WATER ST
Mailing Address - Street 2:SUITE #407
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-4738
Mailing Address - Country:US
Mailing Address - Phone:319-610-4179
Mailing Address - Fax:888-853-4291
Practice Address - Street 1:722 WATER ST
Practice Address - Street 2:SUITE #407
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-4738
Practice Address - Country:US
Practice Address - Phone:319-610-4179
Practice Address - Fax:888-853-4291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001289101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty