Mykl Boyd-Raska
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sioux City, IA
NPI 1245978006 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1245978006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1115 5TH St
Sioux City, IA 51101-1905 - Phone
- (712) 255-0890
- NPI assigned
- May 23, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Wellness Associates, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1115 5TH St
Sioux City, IA 51101-1905
Mailing address
2801 Jennings St
Sioux City, IA 51104-3626
Phone (712) 899-8362
Other providers in Sioux City, IA
- Lindsy Bottger
- Taylor Bottjen
- Abbi Boutwell
- Travis James Bowers
- Shelby Elizabeth Mae Bownes
- Michele A Boykin
- Boys and Girls Home and Family Services, Inc.
- Boys and Girls Home Residential Treatment Centers, Inc.
- Nabil Braiteh
- Heidi Braunschweig
All providers in Sioux City, IA · Addiction (Substance Use Disorder) Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.