LAUREL BOYD
NPI 1902217805
Counselor - Professional in Jackson, MS
Active since May 13, 2014
About Laurel Boyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREL BOYD (NPI 1902217805) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (TO469A) and active in the NPI registry since May 2014.
NPPES Registry Identity
NPI1902217805
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAUREL BOYD
Location Address431 N STATE ST, SUMMIT COUNSELINGJackson, MS 39201-1108
Mailing Address431 N State St, Summit CounselingJackson, MS 39201-1108
Phone(601) 949-1949
Sole ProprietorYes
Enumeration DateMay 13, 2014
✔ NPI 1902217805 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · TO469A
431 N STATE ST, Jackson, MS 39201
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902217805, enumerated as an "individual" on May 13, 2014.
The provider is located at 431 N STATE ST SUMMIT COUNSELING JACKSON, MS 39201 and the phone number is (601) 949-1949.
Counselor with taxonomy code 101YP2500X and a focus in Professional.