Provider Demographics
NPI:1437589512
Name:BOIE, ERIK
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:BOIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 KINGWOOD DR STE 120
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2994
Mailing Address - Country:US
Mailing Address - Phone:832-401-9701
Mailing Address - Fax:832-565-1010
Practice Address - Street 1:1110 KINGWOOD DR STE 120
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:832-401-9701
Practice Address - Fax:832-565-1010
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52328171M00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator