Lauren Boyle Counseling Llc | |
1930 W Lincoln Ave Goshen IN 46526-5907 | |
(574) 534-2161 | |
(574) 534-3887 |
Full Name | Lauren Boyle Counseling Llc |
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Speciality | Social Worker |
Location | 1930 W Lincoln Ave, Goshen, Indiana |
Authorized Official Name and Position | Lauren Boyle (OWNER) |
Authorized Official Contact | 5745342161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lauren Boyle Counseling Llc 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 | Lauren Boyle Counseling Llc 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 |
NPI Number | 1023799699 |
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Provider Enumeration Date | 07/27/2023 |
Last Update Date | 07/27/2023 |
Certification Date | 07/27/2023 |
Medicare PECOS PAC ID | 4385098912 |
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Medicare Enrollment ID | O20230929001969 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023799699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lauren Boyle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386241941 PECOS PAC ID: 3870959976 Enrollment ID: I20230516001165 |
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