Provider Demographics
NPI:1871027110
Name:ELENA BOYLE COUNSELING SERVICES
Entity Type:Organization
Organization Name:ELENA BOYLE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCADC, LPC
Authorized Official - Phone:908-812-6960
Mailing Address - Street 1:538 FRANK APPLEGATE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-4221
Mailing Address - Country:US
Mailing Address - Phone:908-812-6960
Mailing Address - Fax:
Practice Address - Street 1:538 FRANK APPLEGATE RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-4221
Practice Address - Country:US
Practice Address - Phone:908-812-6960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health