# BRYAN BOYLE & ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellsource Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245535905
- **Authorized official:** ROBERT JAMES SIMON APRN (COO)
- **Authorized official phone:** (713) 481-2808

## Contact information

- **Practice address:** 1308 KINGWOOD DR, KINGWOOD, TX 77339-3146
- **Practice address phone:** (713) 481-2808
- **Practice address fax:** (713) 481-2805
- **Mailing address:** PO BOX 5090, KINGWOOD, TX 77325-5090
- **Mailing address phone:** (713) 481-2808
- **Mailing address fax:** (713) 481-2805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 11/29/2023