Provider Demographics
NPI:1407203797
Name:BYRNES, GAIL K (LMFT; LMHC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:K
Last Name:BYRNES
Suffix:
Gender:F
Credentials:LMFT; LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FAIRWAY CT
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-1002
Mailing Address - Country:US
Mailing Address - Phone:518-435-9605
Mailing Address - Fax:
Practice Address - Street 1:8 FAIRWAY CT
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1002
Practice Address - Country:US
Practice Address - Phone:518-435-9605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001785-1101YM0800X
NY000314-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health