Provider Demographics
NPI:1922168038
Name:BOY, HELEN CLAIRE (LICSW LADC)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:CLAIRE
Last Name:BOY
Suffix:
Gender:F
Credentials:LICSW LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11900 WAYZATA BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-2031
Mailing Address - Country:US
Mailing Address - Phone:952-406-1090
Mailing Address - Fax:952-224-5996
Practice Address - Street 1:11900 WAYZATA BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-2031
Practice Address - Country:US
Practice Address - Phone:952-406-1090
Practice Address - Fax:952-224-5996
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN300418101YA0400X
MN168801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)