Provider Demographics
NPI:1609297167
Name:BOYLE COUNESLING AND CONSULTATION, PLLC
Entity Type:Organization
Organization Name:BOYLE COUNESLING AND CONSULTATION, PLLC
Other - Org Name:SWINTON & ASSOCIATES COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MS, LMFT
Authorized Official - Phone:801-657-5312
Mailing Address - Street 1:9055 S 1300 E STE 12
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84094-3190
Mailing Address - Country:US
Mailing Address - Phone:801-657-5312
Mailing Address - Fax:801-653-9663
Practice Address - Street 1:9055 S 1300 E STE 12
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-3190
Practice Address - Country:US
Practice Address - Phone:801-657-5312
Practice Address - Fax:801-653-9663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty