| Michael C Boyle Pllc | |
|
1101 Ridge Rd Ste 232 Rockwall TX 75087-4250 | |
| (469) 769-1744 | |
| Not Available |
| Full Name | Michael C Boyle Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1101 Ridge Rd Ste 232, Rockwall, Texas |
| Authorized Official Name and Position | Michael Boyle (LPC, OWNER) |
| Authorized Official Contact | 4697691744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Boyle Pllc 1196 T L Townsend Dr Apt 217 Rockwall TX 75087-0889 Ph: (469) 769-1744 | Michael C Boyle Pllc 1101 Ridge Rd Ste 232 Rockwall TX 75087-4250 Ph: (469) 769-1744 |
| NPI Number | 1871155101 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 8527405463 |
|---|---|
| Medicare Enrollment ID | O20240327001131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871155101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michael Clyde Boyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538383229 PECOS PAC ID: 9436596376 Enrollment ID: I20240327001303 |
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