Healthcare Provider Details

I. General information

NPI: 1043487598
Provider Name (Legal Business Name): NATALIE BRENDA BOYD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 14TH ST NW SUITE 1025
WASHINGTON DC
20005-3406
US

IV. Provider business mailing address

1012 14TH ST NW SUITE 1025
WASHINGTON DC
20005-3406
US

V. Phone/Fax

Practice location:
  • Phone: 202-737-6000
  • Fax: 202-737-2332
Mailing address:
  • Phone: 202-737-6000
  • Fax: 202-737-2332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC301330
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: