Provider Demographics
NPI:1114775970
Name:BOYD, MELINDA ANN (LPC)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANN
Last Name:BOYD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CREEKWALK DRIVE
Mailing Address - Street 2:APT 312
Mailing Address - City:GARLAND, TX
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3449
Mailing Address - Country:US
Mailing Address - Phone:334-805-8886
Mailing Address - Fax:
Practice Address - Street 1:300 CREEKWALK DRIVE
Practice Address - Street 2:APT 312
Practice Address - City:GARLAND, TX
Practice Address - State:TX
Practice Address - Zip Code:75040-3449
Practice Address - Country:US
Practice Address - Phone:334-805-8886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84258101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional