Provider Demographics
NPI:1861145245
Name:BOYLAN COUNSELING LLC
Entity type:Organization
Organization Name:BOYLAN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE PRACTICE MENTAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:BOYLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW LAC
Authorized Official - Phone:406-239-7731
Mailing Address - Street 1:8423 WISE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-9637
Mailing Address - Country:US
Mailing Address - Phone:140-623-9773
Mailing Address - Fax:406-728-5661
Practice Address - Street 1:690 SW HIGGINS AVE STE B
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1433
Practice Address - Country:US
Practice Address - Phone:406-239-7731
Practice Address - Fax:406-728-5661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty