Provider Demographics
NPI:1578525101
Name:BYRD, AMANDA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:M
Last Name:BYRD
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 1:125 DONS WAY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913
Mailing Address - Country:US
Mailing Address - Phone:501-624-7111
Mailing Address - Fax:501-620-5109
Practice Address - Street 1:125 DONS WAY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913
Practice Address - Country:US
Practice Address - Phone:501-624-7111
Practice Address - Fax:501-620-5109
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1739-C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1012852OtherUSA MANAGED HEALTH
AR710401764BYROtherUNITY MANAGED M.H. CO.
AR116399726Medicaid
AR7401825OtherAETNA
5Y853OtherBCBS
AR711804000OtherMAGELLAN HEALTH SERVICES.
AR71-0401764OtherCORPHEALTH
AR2284534OtherCIGNA BEHAVIORAL HEALTH
AR04030011600OtherQUAL-CHOICE
AR71-0401764OtherCORPHEALTH