MEDICARE: SHANNON BOYLE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC.0011397	CO

General Provider Information

NPI Number	:	1699078881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON BOYLE LPC

Provider Business Mailing Address
First Line	:	11301 BROOMFIELD LN APT 308
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-5029
Country	:	US
Telephone Number	:	720-328-8847
Fax Number	:

Provider Business Practice Location Address
First Line	:	11301 BROOMFIELD LN APT 308
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-5029
Country	:	US
Telephone Number	:	720-328-8847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2010
Last Update Date	:	02/17/2026

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Directions to “ SHANNON BOYLE LPC” Practice Location

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