Provider Demographics
NPI:1497092787
Name:BOYD, VERONICA (LCSW, LAC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12392 ELMENDORF PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-5831
Mailing Address - Country:US
Mailing Address - Phone:303-948-9412
Mailing Address - Fax:
Practice Address - Street 1:12392 ELMENDORF PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-5831
Practice Address - Country:US
Practice Address - Phone:303-948-9412
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 Licenses
StateLicense IDTaxonomies
CO0000297101YA0400X
CO6125101YA0400X
CO4911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)