Provider Demographics
NPI:1598046831
Name:BYXBEE, JENNIFER MARCIA (ATR-BC, LCAT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARCIA
Last Name:BYXBEE
Suffix:
Gender:F
Credentials:ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 FLUSHING AVE
Mailing Address - Street 2:APT 208
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-1805
Mailing Address - Country:US
Mailing Address - Phone:904-501-3221
Mailing Address - Fax:
Practice Address - Street 1:1087 FLUSHING AVE
Practice Address - Street 2:APT 208
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-1805
Practice Address - Country:US
Practice Address - Phone:904-501-3221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001 414-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health