Provider Demographics
NPI:1003332065
Name:BYERLY, CHELIE (MA, LPC, LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:CHELIE
Middle Name:
Last Name:BYERLY
Suffix:
Gender:F
Credentials:MA, LPC, LMHC, NCC
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:TERESA
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:14329 BARRACUDA RUN
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0525
Mailing Address - Country:US
Mailing Address - Phone:813-205-0682
Mailing Address - Fax:
Practice Address - Street 1:11141 COUNTY LINE RD UNIT 114
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-5620
Practice Address - Country:US
Practice Address - Phone:813-328-6034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health