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Organization
BRYAN BOYLE & ASSOCIATES, PLLC
Active
Organization
BRYAN BOYLE & ASSOCIATES, PLLC
Active
Other names
Wellsource Group
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES SIMON APRN (COO)
(713) 481-2808
Entity
Organization
Contact information
Practice address
1308 KINGWOOD DR, KINGWOOD, TX 77339-3146
(713) 481-2808
(713) 481-2805
Mailing address
PO BOX 5090, KINGWOOD, TX 77325-5090
(713) 481-2808
(713) 481-2805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
65120
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/11/2011
Last updated
11/29/2023
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