Boyle, Tara

Boyle, Tara is an individual health care provider with primary practice located at 3017 W Charleston Blvd Ste 70 , Las Vegas NV 89102-1928. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Boyle, Tara can be contacted via phone (702) 823-3910.

Contact Information

Primary practice address
3017 W Charleston Blvd Ste 70 Las Vegas NV 89102-1928
Phone: (702) 823-3910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MI4055 Nevada

Profile Details

NPI number 1548600943
LBN Legal business name Boyle, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated May 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548600943 NPPES
Nevada MEDICAID 1700046372

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