Edward Lee Boye, LPC

Individual provider Active NPI Pastoral Counselor · Blue Ridge, GA

NPI 1982636767 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1982636767
Entity type
Individual (NPI type 1)
Primary specialty
Pastoral Counselor 101YP1600X
License
249 (GA)
Practice address
101 Riverstone Vis
Suite 201a
Blue Ridge, GA 30513-6648
Phone
(423) 496-9878
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
249GAMDPastoral Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 249 GA Yes

Addresses

Primary practice location

101 Riverstone Vis
Suite 201a
Blue Ridge, GA 30513-6648

Mailing address

122 Lakeview PT
Turtletown, TN 37391-4818
Phone (423) 496-9878

Other identifiers

IdentifierTypeStateIssuer
249OtherGALISCENCED PROFESSIONAL CO

Other providers in Blue Ridge, GA

All providers in Blue Ridge, GA · Pastoral Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.