Healthcare Provider Details

I. General information

NPI: 1407042518
Provider Name (Legal Business Name): KARIS JOY BOYER HOLDER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 INDEPENDENCE PKWY STE 240
CHESAPEAKE VA
23320-5222
US

IV. Provider business mailing address

638 INDEPENDENCE PKWY STE 240
CHESAPEAKE VA
23320-5222
US

V. Phone/Fax

Practice location:
  • Phone: 757-965-5886
  • Fax:
Mailing address:
  • Phone: 757-965-5886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701004173
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: