Shameka L Boyd

Individual provider Active NPI Mental Health Counselor · Spencer, OK

NPI 1144595281 · NPPES record last updated Mar 21, 2012

Key facts

NPI
1144595281
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3442 Cobblestone Dr
Spencer, OK 73084-3256
Phone
(405) 924-3575
Fax
(405) 606-7271
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3442 Cobblestone Dr
Spencer, OK 73084-3256

Mailing address

3442 Cobblestone Dr
Spencer, OK 73084-3256
Phone (405) 924-3575

Other names

  • Shameka L. Williams Other name

Other providers in Spencer, OK

All providers in Spencer, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.