Provider Demographics
NPI:1437571460
Name:BOYD, SARAH ANN (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:BOYD
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 HOBBS RD APT G8
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3375
Mailing Address - Country:US
Mailing Address - Phone:615-916-1525
Mailing Address - Fax:
Practice Address - Street 1:2116 HOBBS RD APT G8
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3375
Practice Address - Country:US
Practice Address - Phone:615-916-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-10
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6245101YP2500X
KY168697101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100726490Medicaid