Provider Demographics
NPI:1245840693
Name:BOYD, SABRINA MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:MICHELLE
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 1:1211 BARNESVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:WYLLIESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23976-6003
Mailing Address - Country:US
Mailing Address - Phone:434-470-0702
Mailing Address - Fax:
Practice Address - Street 1:1211 BARNESVILLE HWY
Practice Address - Street 2:
Practice Address - City:WYLLIESBURG
Practice Address - State:VA
Practice Address - Zip Code:23976-6003
Practice Address - Country:US
Practice Address - Phone:434-470-0702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009053101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional