Individual
MRS. LAKISHA PATRICE BOYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
725 N HIGHLAND AVE, UNIT 100, WINSTON SALEM, NC 27101-4180
(336) 607-8523
(336) 773-0916
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11337
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063961084
—
NC
01
—
19PC2
BCBS
NC
Enumeration date
10/03/2016
Last updated
08/15/2017
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