| Dr Michael Clyde Boyle, PHD | |
| 
					1101 Ridge Rd Ste 232, Rockwall, TX 75087-4250  | |
| (469) 769-1744 | |
| (469) 769-1156 | 
| Full Name | Dr Michael Clyde Boyle | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 1101 Ridge Rd Ste 232, Rockwall, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538383229 | NPI | - | NPPES | 
| 388527901 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 18737 (Texas) | Primary | 
| Entity Name | Michael C Boyle Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871155101 PECOS PAC ID: 8527405463 Enrollment ID: O20240327001131  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael Clyde Boyle, PHD 1196 T L Townsend Dr Apt 217, Rockwall, TX 75087-0889 Ph: (469) 769-1744  | Dr Michael Clyde Boyle, PHD 1101 Ridge Rd Ste 232, Rockwall, TX 75087-4250 Ph: (469) 769-1744  | 
Dr. Jessica Holm, PHD Counselor Medicare: Medicare Enrolled Practice Location: 1424 Corrara Dr, Rockwall, TX 75032 Phone: 352-266-4983  | |
Jeff Chandler, L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 935 W Ralph Hall Pkwy, Rockwall, TX 75032 Phone: 972-772-8484  | |
Jessica Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Orchard Ln, Rockwall, TX 75087 Phone: 972-885-3623  | |
Mrs. Brenda Louise Collins, LPC,  BCMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6701 Heritage Pkwy Ste 170, Rockwall, TX 75087 Phone: 972-839-7042  | |
Nasreen Welden, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1024 Ridge Rd, Rockwall, TX 75087 Phone: 214-536-0443  | |
Ms. Audra Joy Funk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Turtle Cove, Suite 200 A, Rockwall, TX 75087 Phone: 972-743-1080  | |
Billie Watson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 W Ralph Hall Pkwy Ste 201, Rockwall, TX 75032 Phone: 469-545-0160  |