Healthcare Provider Details

I. General information

NPI: 1124931761
Provider Name (Legal Business Name): BOYD THERAPY CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 E BOYD AVE
BOYD TX
76023-3023
US

IV. Provider business mailing address

409 E BOYD AVE
BOYD TX
76023-3023
US

V. Phone/Fax

Practice location:
  • Phone: 817-221-8110
  • Fax:
Mailing address:
  • Phone: 817-221-8110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JESSICA AIDUCK
Title or Position: THERAPIST/OWNER
Credential: LPC
Phone: 682-582-0597