Provider Demographics
NPI:1154091429
Name:BOYER, KATHRYN (LMSW, MT-BC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:BOYER
Suffix:
Gender:F
Credentials:LMSW, MT-BC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:BOYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW, MT-BC
Mailing Address - Street 1:155 FRANKLIN RD STE 135
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:155 FRANKLIN RD STE 135
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4646
Practice Address - Country:US
Practice Address - Phone:615-461-4014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical