Healthcare Provider Details

I. General information

NPI: 1861175770
Provider Name (Legal Business Name): MICHAEL BOYLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 JEFFERSON ST NE
ALBUQUERQUE NM
87109-4379
US

IV. Provider business mailing address

87 YORKTOWN ST
SOMERVILLE MA
02144-2424
US

V. Phone/Fax

Practice location:
  • Phone: 617-237-0321
  • Fax: 617-302-8829
Mailing address:
  • Phone: 617-237-0321
  • Fax: 617-302-8829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BOYLE
Title or Position: OWNER
Credential: LMFT
Phone: 617-237-0321