Olivia Mae Boyd

Individual provider Active NPI Peer Specialist · Houghton Lake, MI

NPI 1265124671 · NPPES record last updated May 24, 2023

Key facts

NPI
1265124671
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
2715 S Townline Rd
Houghton Lake, MI 48629-9294
Phone
(989) 915-1998
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

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
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

2715 S Townline Rd
Houghton Lake, MI 48629-9294

Mailing address

2715 S Townline Rd
Houghton Lake, MI 48629-9294
Phone (989) 915-1998

Other providers in Houghton Lake, MI

All providers in Houghton Lake, MI · Peer Specialist in Michigan

Sources for this page

Verify at the official NPI Registry.