Provider Demographics
NPI:1962971994
Name:BOYD, CRECENRA FLIM
Entity type:Individual
Prefix:DR
First Name:CRECENRA
Middle Name:FLIM
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 1:2 VICTORIAN RUN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2535
Mailing Address - Country:US
Mailing Address - Phone:281-980-1619
Mailing Address - Fax:
Practice Address - Street 1:935 ELDRIDGE RD # 146
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2809
Practice Address - Country:US
Practice Address - Phone:284-824-3239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional