Provider Demographics
NPI:1457312746
Name:BYRD-GAROFALO, ANNE K (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:K
Last Name:BYRD-GAROFALO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3660 STONERIDGE RD
Mailing Address - Street 2:BUILDING A101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7760
Mailing Address - Country:US
Mailing Address - Phone:512-732-2148
Mailing Address - Fax:512-732-2148
Practice Address - Street 1:3660 STONERIDGE RD
Practice Address - Street 2:BUILDING A101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7760
Practice Address - Country:US
Practice Address - Phone:512-732-2148
Practice Address - Fax:512-732-2148
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX275211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical