Healthcare Provider Details

I. General information

NPI: 1508006826
Provider Name (Legal Business Name): CINNA MARY BOYLE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2009
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 HELENA AVE STE 5
HELENA MT
59601-3525
US

IV. Provider business mailing address

PO BOX 383
SHERIDAN MT
59749-0383
US

V. Phone/Fax

Practice location:
  • Phone: 406-660-1572
  • Fax:
Mailing address:
  • Phone: 406-660-1572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1242
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-42522
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: