Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LYLE SPENCER BOURCY, LCPC
ActiveMR. LYLE SPENCER BOURCY, LCPC is a Professional Counselor healthcare provider located in FRUITLAND, Idaho. NPI 1235130162 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · FRUITLAND, ID
Registration Details
- NPI Number
- 1235130162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (21.022745903989 yrs)
- Last Updated
- Jul 9, 2007
- License
-
LCPC-2757 (ID)
Practice Information
- Address
-
1303 NW 16TH STSUITE CFRUITLAND, ID, 836192263Browse ID providers · Browse ZIP 83619
- Phone
- 2082500374
- Fax
- 2084522164
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in FRUITLAND, ID
| Name | Credential | NPI |
|---|---|---|
| COLLEEN E GARDNER | LCPC, NCC | 1235343542 |
| KATHERINE HOLLIE FISHER | LPC | 1245931203 |
| ALIA BONNIE FULLETON | LPC | 1265136667 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.