Provider Demographics
NPI:1467249425
Name:BOYD, SARAH MICHELLE (MPS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MICHELLE
Last Name:BOYD
Suffix:
Gender:
Credentials:MPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 151ST LN NW
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-4585
Mailing Address - Country:US
Mailing Address - Phone:763-213-9330
Mailing Address - Fax:
Practice Address - Street 1:4829 MINNETONKA BLVD
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2210
Practice Address - Country:US
Practice Address - Phone:952-491-9450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional