Individual
MS. ELIZABETH LOUISE BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
15607 STANLEY RD, VANCLEAVE, MS 39565-9461
(334) 701-0107
Mailing address
15607 STANLEY RD, VANCLEAVE, MS 39565-9461
(334) 701-0107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2060
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
01
—
2060
MISS BOARD OF EXAMINERS FOR LPC
MS
Enumeration date
04/10/2014
Last updated
10/15/2021
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