Provider Demographics
NPI:1508002551
Name:BYRD, TURQUIOUS MICHELLE (MSW, LMSW)
Entity Type:Individual
Prefix:MS
First Name:TURQUIOUS
Middle Name:MICHELLE
Last Name:BYRD
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 LEGACY LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27537-3787
Mailing Address - Country:US
Mailing Address - Phone:919-286-0411
Mailing Address - Fax:919-416-5989
Practice Address - Street 1:508 FULTON STREET
Practice Address - Street 2:DURHAM VA MEDICAL CENTER, SOCIAL WORK SERVICE (122)
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705
Practice Address - Country:US
Practice Address - Phone:919-286-6974
Practice Address - Fax:919-416-5834
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000081061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical