Provider Demographics
NPI:1497512412
Name:BOYD, KATRINA (LCDC INTERN)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:LCDC INTERN
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:
Other - Last Name:BOYD-HOBBS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COUNSELOR
Mailing Address - Street 1:7210 N HEARTHSTONE GREEN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3584
Mailing Address - Country:US
Mailing Address - Phone:832-710-9913
Mailing Address - Fax:
Practice Address - Street 1:7210 N HEARTHSTONE GREEN CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3584
Practice Address - Country:US
Practice Address - Phone:832-710-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X, 171400000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171400000XOther Service ProvidersHealth & Wellness Coach