Healthcare Provider Details

I. General information

NPI: 1386550929
Provider Name (Legal Business Name): BOYLE BEHAVIORAL HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49711 N PARK CIR
EAST LIVERPOOL OH
43920-8981
US

IV. Provider business mailing address

49711 N PARK CIR
EAST LIVERPOOL OH
43920-8981
US

V. Phone/Fax

Practice location:
  • Phone: 234-736-6795
  • Fax: 234-259-1003
Mailing address:
  • Phone: 330-843-0083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JACOB WILLIAM BOYLE
Title or Position: OWNER/PMHNP
Credential: PMHNP-BC
Phone: 330-843-0083