Provider Demographics
NPI:1184182917
Name:BOYHEN ASSOCIATES LLC
Entity Type:Organization
Organization Name:BOYHEN ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:TEAKA
Authorized Official - Middle Name:WHEATLEY
Authorized Official - Last Name:BOYHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-230-2379
Mailing Address - Street 1:3208 WHITNEY AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2158
Mailing Address - Country:US
Mailing Address - Phone:203-230-2379
Mailing Address - Fax:203-230-2379
Practice Address - Street 1:3208 WHITNEY AVE STE 1A
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2158
Practice Address - Country:US
Practice Address - Phone:203-230-2379
Practice Address - Fax:203-230-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health