Provider Demographics
NPI:1538478862
Name:BOYES, RICK (LPC)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:BOYES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4477 W EMERALD ST
Mailing Address - Street 2:SUITE C-110
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-2000
Mailing Address - Country:US
Mailing Address - Phone:208-344-3070
Mailing Address - Fax:
Practice Address - Street 1:4477 W EMERALD ST
Practice Address - Street 2:SUITE C-110
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-2000
Practice Address - Country:US
Practice Address - Phone:208-344-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-64101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health