Provider Demographics
NPI:1932996964
Name:BOYE, COMFORT M
Entity type:Individual
Prefix:
First Name:COMFORT
Middle Name:M
Last Name:BOYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 SUMMER PLACE DR E APT 4A
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-8036
Mailing Address - Country:US
Mailing Address - Phone:940-882-2288
Mailing Address - Fax:940-882-2288
Practice Address - Street 1:6405 SUMMER PLACE DR E APT 4A
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-8036
Practice Address - Country:US
Practice Address - Phone:940-882-2288
Practice Address - Fax:940-882-2288
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002801A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health