Provider Demographics
NPI:1881469468
Name:BOYCE, ELIZA (LPC)
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:
Last Name:BOYCE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ELIZA
Other - Middle Name:ROSE
Other - Last Name:SMIDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:866 MILL ROCK ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-6142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:866 MILL ROCK ST
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-6142
Practice Address - Country:US
Practice Address - Phone:423-863-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-23
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC014084101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional