Boylan Counseling Llc | |
690 Sw Higgins Ave Ste B Missoula MT 59803-1433 | |
(406) 239-7731 | |
(406) 728-5661 |
Full Name | Boylan Counseling Llc |
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Speciality | Community/Behavioral Health |
Location | 690 Sw Higgins Ave Ste B, Missoula, Montana |
Authorized Official Name and Position | Dana Allison Boylan (PRIVATE PRACTICE MENTAL HEALTH) |
Authorized Official Contact | 4062397731 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Boylan Counseling Llc 8423 Wise River Rd Missoula MT 59803-9637 Ph: (140) 623-9773 | Boylan Counseling Llc 690 Sw Higgins Ave Ste B Missoula MT 59803-1433 Ph: (406) 239-7731 |
NPI Number | 1861145245 |
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Provider Enumeration Date | 01/27/2022 |
Last Update Date | 11/09/2022 |
Certification Date | 11/09/2022 |
Medicare PECOS PAC ID | 2466848858 |
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Medicare Enrollment ID | O20220412001930 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861145245 | NPI | - | NPPES |
Provider Name | Dana Allison Boylan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033447701 PECOS PAC ID: 6507092855 Enrollment ID: I20220412002023 |
Provider Name | Brad Thomas Boylan |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508976028 PECOS PAC ID: 6204369598 Enrollment ID: I20241024003439 |
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