BOYD EUSTACE


Address: 1869 Loch Shiel Rd, Baltimore, MD 21286-8917
Phone: 4102921714

BOYD EUSTACE (NPI# 1831689801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831689801
Entity Type Individual
Full Name BOYD EUSTACE
Credential LCPC, ACS
Practice Address 1869 Loch Shiel Rd
Baltimore
MD 21286-8917
Practice Telephone 4102921714
Mailing Telephone 4102921714
Enumeration Date 2018-05-15
Last Update Date 2018-05-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LC2120 MD Behavioral Health & Social Service Providers

Office Location

Street Address 1869 LOCH SHIEL RD
City BALTIMORE
State MD
Zip Code 21286-8917

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21286

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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