Provider Demographics
NPI:1316544455
Name:BARBARA J DOYLE COUNSELING SERVICES PROFESSIONAL LLC
Entity Type:Organization
Organization Name:BARBARA J DOYLE COUNSELING SERVICES PROFESSIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-816-2275
Mailing Address - Street 1:20 HOPE AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-2717
Mailing Address - Country:US
Mailing Address - Phone:617-816-2275
Mailing Address - Fax:617-484-6477
Practice Address - Street 1:20 HOPE AVE STE 107
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-2717
Practice Address - Country:US
Practice Address - Phone:617-816-2275
Practice Address - Fax:617-484-6477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health