Brad Thomas Boylan, LCPC | |
520 N Pattee Street, Missoula, MT 59802 | |
(406) 549-3727 | |
(406) 549-3727 |
Full Name | Brad Thomas Boylan |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 520 N Pattee Street, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508976028 | NPI | - | NPPES |
0256295 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1120 (Montana) | Primary |
Entity Name | Boylan Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861145245 PECOS PAC ID: 2466848858 Enrollment ID: O20220412001930 |
Mailing Address | Practice Location Address |
---|---|
Brad Thomas Boylan, LCPC 520 N Pattee Street, Missoula, MT 59802 Ph: (406) 549-3727 | Brad Thomas Boylan, LCPC 520 N Pattee Street, Missoula, MT 59802 Ph: (406) 549-3727 |
Ms. Sue Ellen Silverberg, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 230 S Davis St, Missoula, MT 59801 Phone: 406-728-5866 | |
Ms. Linda Faye Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4123 S 7th St W, Missoula, MT 59804 Phone: 406-274-2733 | |
James Walter Thompson Iv, PCLC, LSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 Fairview Ave Ste A, Missoula, MT 59801 Phone: 406-214-3810 | |
Mr. Brooks William Baer, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 902 N Orange St, Suite 102, Missoula, MT 59802 Phone: 406-327-3034 Fax: 406-327-3385 | |
Clare Maguire, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 S 3rd St W, Missoula, MT 59804 Phone: 406-360-0443 | |
Krista Snyder, PCLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 913 Sw Higgins Ave Ste 102, Missoula, MT 59803 Phone: 406-544-5902 | |
Mr. David L. Donaldson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 Wyoming St, Missoula, MT 59801 Phone: 406-532-9800 Fax: 406-541-3032 |