MEDICARE: ELIZABETH ANN BOYD LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	16089	NC

General Provider Information

NPI Number	:	1043814205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN BOYD LCMHC

Provider Business Mailing Address
First Line	:	11330 VANSTORY DR STE 109B
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8146
Country	:	US
Telephone Number	:	704-437-2835
Fax Number	:

Provider Business Practice Location Address
First Line	:	11330 VANSTORY DR STE 109B
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8146
Country	:	US
Telephone Number	:	704-437-2835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2020
Last Update Date	:	05/21/2025

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