Provider Demographics
NPI:1215826292
Name:BOYD, TOLITHA ANITIA
Entity type:Individual
Prefix:
First Name:TOLITHA
Middle Name:ANITIA
Last Name:BOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13320 ENCLAVE CREEK LN APT 102
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-5575
Mailing Address - Country:US
Mailing Address - Phone:804-868-8246
Mailing Address - Fax:
Practice Address - Street 1:13320 ENCLAVE CREEK LN APT 102
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-5575
Practice Address - Country:US
Practice Address - Phone:804-868-8246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0735001342101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor