Provider Demographics
NPI:1073762027
Name:BYRD, WENDY LYNN (LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:LYNN
Last Name:BYRD
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 N CAPITAL OF TEXAS HWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6606
Mailing Address - Country:US
Mailing Address - Phone:512-350-8015
Mailing Address - Fax:512-992-2373
Practice Address - Street 1:3536 BEE CAVE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6654
Practice Address - Country:US
Practice Address - Phone:512-350-8015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63017101YP2500X
TX201148106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional