Healthcare Provider Details

I. General information

NPI: 1386523629
Provider Name (Legal Business Name): MAKAYLA BOYSEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2025
Last Update Date: 08/30/2025
Certification Date: 08/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1624 TIFFIN AVE STE D
FINDLAY OH
45840-6852
US

IV. Provider business mailing address

343 W BAGLEY RD
BEREA OH
44017-1370
US

V. Phone/Fax

Practice location:
  • Phone: 419-422-7800
  • Fax:
Mailing address:
  • Phone: 440-234-2006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: