Provider Demographics
NPI:1245794023
Name:BOYD, JASIE P (LCSW, LCDC)
Entity Type:Individual
Prefix:
First Name:JASIE
Middle Name:P
Last Name:BOYD
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16693 HUFFMEISTER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429
Mailing Address - Country:US
Mailing Address - Phone:281-915-3522
Mailing Address - Fax:281-617-4948
Practice Address - Street 1:16693 HUFFMEISTER RD STE 100
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:281-305-9387
Practice Address - Fax:281-617-4948
Is Sole Proprietor?:No
Enumeration Date:2019-01-26
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12229101YA0400X
TX555611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)