Provider Demographics
NPI:1255090296
Name:KATHY BOYD COUNSELING PLLC
Entity type:Organization
Organization Name:KATHY BOYD COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LSCSW
Authorized Official - Phone:512-850-0137
Mailing Address - Street 1:4701 MONTEREY OAKS BLVD APT 1314
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-0920
Mailing Address - Country:US
Mailing Address - Phone:512-850-0137
Mailing Address - Fax:
Practice Address - Street 1:4701 MONTEREY OAKS BLVD APT 1314
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-0920
Practice Address - Country:US
Practice Address - Phone:512-850-0137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health