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General NPI Number Information
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NPI Number | 1659678886
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Entity Type | Individual
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Provider Name | THERESA MARIE BOYD PHD, LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 1437 S BELCHER ROAD
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City | CLEARWATER
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State | FL
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Zip | 33764-2829
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Country | US
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Telephone | 727-524-4464
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Fax | 727-524-4474
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Provider Business Mailing Address
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Address Line | DIRECTIONS FOR LIVING 1437 S BELCHER RD
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City | CLEARWATER
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State | FL
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Zip | 33764-2829
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Country | US
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Telephone | 727-524-4464
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Fax | 727-524-4474
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH13299
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License Number State | FL
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