Provider Demographics
NPI:1235677287
Name:SMITH-BYRD, VARLERIA (LBSW, LPC)
Entity Type:Individual
Prefix:
First Name:VARLERIA
Middle Name:
Last Name:SMITH-BYRD
Suffix:
Gender:F
Credentials:LBSW, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 JERICHO RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-8766
Mailing Address - Country:US
Mailing Address - Phone:864-810-0323
Mailing Address - Fax:
Practice Address - Street 1:300 JERICHO RIDGE TRL
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-8766
Practice Address - Country:US
Practice Address - Phone:864-810-0323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health