Healthcare Provider Details

I. General information

NPI: 1306498480
Provider Name (Legal Business Name): JOSHUA PAUL DOYLE M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8731 NORTHPARK BLVD STE G
CHARLESTON SC
29406-9264
US

IV. Provider business mailing address

7910 CROSSROADS DR APT 12M
NORTH CHARLESTON SC
29406-9447
US

V. Phone/Fax

Practice location:
  • Phone: 315-706-5096
  • Fax:
Mailing address:
  • Phone: 315-706-5096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9269
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3674
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number86890
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: