Healthcare Provider Details

I. General information

NPI: 1013287556
Provider Name (Legal Business Name): CANDIS M BOILY LPC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2011
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E MAIN ST
COUNCIL GROVE KS
66846-1355
US

IV. Provider business mailing address

326 S 9TH ST
OSAGE CITY KS
66523-1202
US

V. Phone/Fax

Practice location:
  • Phone: 620-343-2211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number03551
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2011039352
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: