Healthcare Provider Details

I. General information

NPI: 1053446773
Provider Name (Legal Business Name): LATOYA TOMEKA BOYD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17011 STATE ROAD 50
CLERMONT FL
34711-8203
US

IV. Provider business mailing address

17011 STATE ROAD 50 STE 301
CLERMONT FL
34711-8203
US

V. Phone/Fax

Practice location:
  • Phone: 850-509-4825
  • Fax:
Mailing address:
  • Phone: 833-769-3524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH11334
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: