Provider Demographics
NPI:1639631450
Name:BYRD, ARTHUR LEE SR (LMHP-R)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:LEE
Last Name:BYRD
Suffix:SR
Gender:M
Credentials:LMHP-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MILL ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-3401
Mailing Address - Country:US
Mailing Address - Phone:434-315-0000
Mailing Address - Fax:434-315-8759
Practice Address - Street 1:1 MILL ST STE 100
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-3401
Practice Address - Country:US
Practice Address - Phone:434-315-0000
Practice Address - Fax:434-315-8759
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3111251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health