MYRTLE BOYKIN-LIGHTON NPI 1265815591

NPI Information

NPI: 1265815591
Provider Name: MYRTLE BOYKIN-LIGHTON
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
809 W VINE ST
LIMA, OH
ZIP 45804
Phone: (419) 222-4474
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Myrtle Boykin-lighton is an addiction (substance use disorder) counselor in Lima, OH. Myrtle Boykin-lighton NPI is 1265815591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

809 W VINE ST
LIMA, OH
ZIP 45804-054
Phone: (419) 222-4474
Fax: (419) 222-7044

The enumeration date for this NPI number is 7/6/2015 and was last updated on 8/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		OHIO	No
2	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician		OHIO	No
3	405300000X	Prevention Professional		0782	OHIO	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1163	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	341741132	MEDICARE OSCAR/CERTIFICATION	OHIO
2	3417411132	MEDICARE NSC	OHIO
3	341741132	MEDICAID	OHIO
4	341741132	MEDICARE PIN	OHIO
5	341741132	MEDICARE UPIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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