MEDICARE: DOYEL MANAGEMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	17447	TX

General Provider Information

NPI Number	:	1730284654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOYEL MANAGEMENT, INC.

Provider Business Mailing Address
First Line	:	105 E PARK ROW DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-4426
Country	:	US
Telephone Number	:	817-804-1551
Fax Number	:	817-275-7866

Provider Business Practice Location Address
First Line	:	105 E PARK ROW DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-4426
Country	:	US
Telephone Number	:	817-804-1551
Fax Number	:	817-275-7866

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	LYNDA G DOYEL
Credential	:	LMSW
Telephone Number	:	817-804-1551

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	08/01/2008

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