Provider Demographics
NPI:1861979387
Name:BOYER, DELLA DENISE (LPC)
Entity type:Individual
Prefix:MS
First Name:DELLA
Middle Name:DENISE
Last Name:BOYER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:DELLA
Other - Middle Name:DENISE
Other - Last Name:WOFFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 KATHRYN DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4216
Mailing Address - Country:US
Mailing Address - Phone:800-972-0643
Mailing Address - Fax:
Practice Address - Street 1:105 KATHRYN DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4216
Practice Address - Country:US
Practice Address - Phone:800-972-0643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71671101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor