Provider Demographics
NPI:1427395748
Name:BOYD, CARLA KATICIA
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:KATICIA
Last Name:BOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CARLA
Other - Middle Name:KATICIA
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1921 RANSOM PLACE
Mailing Address - Street 2:CENTERSTONE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217
Mailing Address - Country:US
Mailing Address - Phone:615-279-6700
Mailing Address - Fax:
Practice Address - Street 1:1921 RANSOM PLACE
Practice Address - Street 2:CENTERSTONE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217
Practice Address - Country:US
Practice Address - Phone:615-279-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health