Healthcare Provider Details

I. General information

NPI: 1467069484
Provider Name (Legal Business Name): ERIN ELIZABETH BOYLE LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date: 10/07/2021
Reactivation Date: 11/11/2021

III. Provider practice location address

215 W PERSHING RD STE 403
KANSAS CITY MO
64108-4336
US

IV. Provider business mailing address

215 W PERSHING RD STE 403 PMB 1241
KANSAS CITY MO
64108-4336
US

V. Phone/Fax

Practice location:
  • Phone: 336-663-2914
  • Fax:
Mailing address:
  • Phone: 336-663-2914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17006
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026031039
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: