Provider Demographics
NPI:1235458324
Name:MICHAEL BYLER, LPC
Entity Type:Organization
Organization Name:MICHAEL BYLER, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BYLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-881-9870
Mailing Address - Street 1:2278 TRAYWICK CHASE
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4219
Mailing Address - Country:US
Mailing Address - Phone:678-881-9870
Mailing Address - Fax:678-905-7057
Practice Address - Street 1:110 MANSELL CIR
Practice Address - Street 2:SUITE 103
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3799
Practice Address - Country:US
Practice Address - Phone:678-881-9870
Practice Address - Fax:678-905-7057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005448251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA308965341AMedicaid