Provider Demographics
NPI:1376207811
Name:C J BOYD CHRISTIAN COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:C J BOYD CHRISTIAN COUNSELING SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CESSEL
Authorized Official - Middle Name:JEWON
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LPC
Authorized Official - Phone:919-698-9972
Mailing Address - Street 1:831 MACON EMBRO RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:NC
Mailing Address - Zip Code:27551-9276
Mailing Address - Country:US
Mailing Address - Phone:919-698-9972
Mailing Address - Fax:
Practice Address - Street 1:136 S MAIN ST STE F
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-1967
Practice Address - Country:US
Practice Address - Phone:888-320-7119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty