=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730284654
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOYEL MANAGEMENT, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2006
-----------------------------------------------------
Last Update Date | 08/01/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 E PARK ROW DR
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76010-4426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-804-1551
-----------------------------------------------------
Fax | 817-275-7866
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 105 E PARK ROW DR
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76010-4426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-804-1551
-----------------------------------------------------
Fax | 817-275-7866
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/COUNSELOR
-----------------------------------------------------
Name | LYNDA G DOYEL
-----------------------------------------------------
Credential | LMSW
-----------------------------------------------------
Telephone | 817-804-1551
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | 17447
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------