Basic Information
Provider Information
NPI: 1730284654
EntityType: 2
ReplacementNPI:  
OrganizationName: DOYEL MANAGEMENT, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: TEXAS BEHAVIORAL HEALTH
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 105 E PARK ROW DR
Address2:  
City: ARLINGTON
State: TX
PostalCode: 760104426
CountryCode: US
TelephoneNumber: 8178041551
FaxNumber: 8172757866
Practice Location
Address1: 105 E PARK ROW DR
Address2:  
City: ARLINGTON
State: TX
PostalCode: 760104426
CountryCode: US
TelephoneNumber: 8178041551
FaxNumber: 8172757866
Other Information
ProviderEnumerationDate: 09/14/2006
LastUpdateDate: 08/01/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DOYEL
AuthorizedOfficialFirstName: LYNDA
AuthorizedOfficialMiddleName: G
AuthorizedOfficialTitleorPosition: OWNER/COUNSELOR
AuthorizedOfficialTelephone: 8178041551
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: LMSW
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X17447TXY193400000X MULTIPLE SINGLE SPECIALTY GROUPBehavioral Health & Social Service ProvidersCounselor 

No ID Information.


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