Provider Demographics
NPI:1134699853
Name:BYAM, DEVIN THOMAS (LPC)
Entity Type:Individual
Prefix:MR
First Name:DEVIN
Middle Name:THOMAS
Last Name:BYAM
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHIP CT
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-2306
Mailing Address - Country:US
Mailing Address - Phone:434-987-2472
Mailing Address - Fax:
Practice Address - Street 1:1975 ELK HILL RD
Practice Address - Street 2:
Practice Address - City:GOOCHLAND
Practice Address - State:VA
Practice Address - Zip Code:23063-3318
Practice Address - Country:US
Practice Address - Phone:804-457-4866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007996101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health