Provider Demographics
NPI:1346919081
Name:BYRD COUNSELING, INC
Entity Type:Organization
Organization Name:BYRD COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:951-973-0036
Mailing Address - Street 1:27576 COMMERCE CENTER DR STE 204
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2537
Mailing Address - Country:US
Mailing Address - Phone:951-973-0036
Mailing Address - Fax:
Practice Address - Street 1:27576 COMMERCE CENTER DR STE 204
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2537
Practice Address - Country:US
Practice Address - Phone:951-973-0036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)