Provider Demographics
NPI:1184159964
Name:BOYD, COVIA
Entity type:Individual
Prefix:
First Name:COVIA
Middle Name:
Last Name:BOYD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 W 3RD ST
Mailing Address - Street 2:SUITE 555
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-3923
Mailing Address - Country:US
Mailing Address - Phone:336-631-1948
Mailing Address - Fax:
Practice Address - Street 1:8 W 3RD ST
Practice Address - Street 2:SUITE 555
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-3923
Practice Address - Country:US
Practice Address - Phone:336-631-1948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional