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: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 EDGEWATER DR # 6806
ORLANDO FL
32804-6350
US

IV. Provider business mailing address

1317 EDGEWATER DR # 6806
ORLANDO FL
32804-6350
US

V. Phone/Fax

Practice location:
  • Phone: 888-341-5860
  • Fax: 850-622-1228
Mailing address:
  • Phone: 888-341-5860
  • Fax: 850-622-1228

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: