| Lauren Boyle Counseling Llc | |
|
1930 W Lincoln Ave Goshen IN 46526-5907 | |
| (574) 534-2161 | |
| (574) 534-3887 |
| Full Name | Lauren Boyle Counseling Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 4385098912 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386241941 PECOS PAC ID: 3870959976 Enrollment ID: I20230516001165 |
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