| Michael Boyle Llc | |
|
6801 Jefferson St Ne Albuquerque NM 87109-4379 | |
| (617) 237-0321 | |
| (617) 302-8829 |
| Full Name | Michael Boyle Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6801 Jefferson St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Michael Boyle (OWNER) |
| Authorized Official Contact | 6172370321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Boyle Llc 87 Yorktown St Somerville MA 02144-2424 Ph: (617) 237-0321 | Michael Boyle Llc 6801 Jefferson St Ne Albuquerque NM 87109-4379 Ph: (617) 237-0321 |
| NPI Number | 1861175770 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 03/25/2026 |
| Certification Date | 03/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861175770 | NPI | - | NPPES |
| 110231889A | Medicaid | MA | |
| 79336353 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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